Why the study?
Perioperative anticoagulant management prevents thromboembolic and bleeding complications, but the reliability of practice in Dutch hospitals and variations between hospitals and bridging dosages were unknown.
Population
259 patients using VKA anticoagulants undergoing surgery across 13 Dutch hospitals
Comparison
Guideline compliance across seven PAM steps and different bridging dosages
Design
Multicentre retrospective patient record review
Authors
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Variable PAM adherence may raise adverse event risks in anticoagulated patients; leaves open whether targeted interventions improve guideline compliance.
There is suboptimal compliance and significant hospital-level variation in perioperative anticoagulant management for patients on VKAs undergoing surgery, highlighting a need for quality improvement.
Moesker et al. (2019) studied this question.
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