Entwicklung eines Fragebogens zur Identifikation der Präferenz von Patienten für ein konventionelles oder ein direktes orales Antikoagulanz

Zolfaghari, Shabnam; Harenberg, Job; Wehling, Martin; Frölich, Lutz; Weiß, Christel

doi:10.1007/s15006-014-3756-5

MMW - Fortschritte der Medizin

2014

DOI: 10.1007/s15006-014-3756-5

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Entwicklung eines Fragebogens zur Identifikation der Präferenz von Patienten für ein konventionelles oder ein direktes orales Antikoagulanz

Shabnam Zolfaghari

Job Harenberg

Martin Wehling

et al.

Abstract: Further investigations have to be performed to identify the preference of patients for anticoagulation with VKA using this short questionnaire.

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2023

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Trends in oral anticoagulant use – A 10-year retrospective analysis from a general medicine department of a tertiary care hospital in south India

Thomas¹,

Lenin²,

George³

et al. 2023

Journal of Postgraduate Medicine

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Background: The prescribing practice of newer oral anticoagulants (NOACs) has not been adequately studied in the Indian scenario. Aims: We aimed to describe the prescribing practices of oral anticoagulants, the patient profile and medical comorbidities among patients admitted in a general medicine unit. Methods: In this retrospective study of the 2742 patients prescribed vitamin- K antagonists (VKAs), during the study period, 150 cases were randomly taken for analysis to match the 105 NOACs cases. Their demographic details, clinical characteristics and treatment details were analyzed. Results: More than 95% of anticoagulants prescribed were VKAs. The prescription of anticoagulants was more common in men (median age 63 years) for prescription of NOACs and 52 years for VKAs. Dabigatran (60.9%) and warfarin (81.3%) were the most prescribed drugs in their respective classes. The most common indication was for cardiovascular diseases with atrial fibrillation (32%). Diabetes and hypertension were the most common comorbidities in patients prescribed oral anticoagulants with a larger proportion of patients with heart failure being prescribed VKAs (P < 0.01). Patients in the NOACs group had a higher HAS-BLED high-risk score (33.3% vs. 17.3%; P = 0.002). Logistic regression analysis revealed that patients with co-morbidities of congestive heart failure were more likely to be prescribed VKAs while diabetics were more likely to receive NOACs. Conclusions: VKAs were the most prescribed anticoagulants; congestive heart failure, diabetes, and hypertension were the commonest comorbidities; and atrial fibrillation was the commonest indication. Patients with a high HAS-BLED score were prescribed NOACs more often.

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Trends in oral anticoagulant use – A 10-year retrospective analysis from a general medicine department of a tertiary care hospital in south India

Thomas¹,

Lenin²,

George³

et al. 2023

Journal of Postgraduate Medicine

View full text Add to dashboard Cite

show abstract

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Entwicklung eines Fragebogens zur Identifikation der Präferenz von Patienten für ein konventionelles oder ein direktes orales Antikoagulanz

Abstract: Further investigations have to be performed to identify the preference of patients for anticoagulation with VKA using this short questionnaire.

Cited by 1 publication

References 14 publications

Trends in oral anticoagulant use – A 10-year retrospective analysis from a general medicine department of a tertiary care hospital in south India

Trends in oral anticoagulant use – A 10-year retrospective analysis from a general medicine department of a tertiary care hospital in south India

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