Why the study?
Patients on oral anticoagulation frequently undergo invasive procedures, requiring balancing thromboembolic and bleeding risks, prompting the development of a guideline to standardize institutional practice.
Provides an institutional clinical practice guideline and decision support tool to standardize the periprocedural management and bridging of oral anticoagulants.
Standardizes periprocedural OAC management; extends evidence synthesis into institutional decision support.
Patients on oral anticoagulation commonly undergo surgery or other invasive procedures. Periprocedural management of oral anticoagulants involves a careful balance of the thromboembolic risk and bleeding risk. To standardize clinical practice at our institution, we developed a guideline for periprocedural management for patients taking oral anticoagulants that incorporates published data and expert opinion. In this article, we present our clinical practice guideline as a decision support tool to aid clinicians in developing a consistent strategy for managing periprocedural anticoagulation and for safely bridging anticoagulation in patients who require it.
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Lewin et al. (2020) studied Patients on oral anticoagulation undergoing surgery or invasive procedures. Institutional Periprocedural Management Guideline was evaluated. An institutional clinical practice guideline was developed as a decision support tool to aid clinicians in managing periprocedural oral anticoagulation and safely bridging therapy.
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