Abstract
Background: The management of vitamin K antagonists (VKAs) associated coagulopathy is a cornerstone of pre-endoscopic assessment of anticoagulated patients presenting with acute gastrointestinal bleeding. Aims: To evaluate physician attitudes in the management of VKAs-associated coagulopathy in patients presenting with gastrointestinal bleeding and to assess their compliance to current practice guidelines. Design: Cross sectional physician web-based survey amongst regional members of three Italian Gastroenterological Societies (AIGO, SIED, SIGE) practicing in academic medical centres or community hospitals. Physicians were asked to provide management preferences in four hypothetical case-scenarios describing patients with warfarin-associated coagulopathy presenting with gastrointestinal bleeding of varying severity. Results: A total of 105 out of 238 (48%) members responded; mean age ± SD: 46.3 ± 9.8 years, 68% male. The adherence to practice guidelines for the reversal of warfarin-induced anticoagulation ranged from 24% to 86% and it was not dependent on age, years and type of specialisation, hospital setting and active performance of " on call" emergency endoscopy or not. Conclusions: There is a considerable variability amongst physicians in the management of gastrointestinal bleeding patients with VKAs-associated coagulopathy and a poor compliance to practice guidelines. These data indicate that better education is needed in this area.
| Original language | English |
|---|---|
| Pages (from-to) | 444-447 |
| Number of pages | 4 |
| Journal | Digestive and Liver Disease |
| Volume | 43 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2011 |
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Keywords
- Coagulopathy
- Gastrointestinal bleeding
- Survey
- Warfarin
ASJC Scopus subject areas
- Gastroenterology
- Hepatology
Cite this
Management of warfarin-associated coagulopathy in patients with acute gastrointestinal bleeding : A cross-sectional physician survey of current practice. / Radaelli, Franco; Paggi, Silvia; Terruzzi, Vittorio; Meucci, Gianmichele; Manes, Gianpiero; Saibeni, Simone; Soncini, Marco; Masci, Enzo; Conte, Dario.
In: Digestive and Liver Disease, Vol. 43, No. 6, 06.2011, p. 444-447.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Management of warfarin-associated coagulopathy in patients with acute gastrointestinal bleeding
T2 - A cross-sectional physician survey of current practice
AU - Radaelli, Franco
AU - Paggi, Silvia
AU - Terruzzi, Vittorio
AU - Meucci, Gianmichele
AU - Manes, Gianpiero
AU - Saibeni, Simone
AU - Soncini, Marco
AU - Masci, Enzo
AU - Conte, Dario
PY - 2011/6
Y1 - 2011/6
N2 - Background: The management of vitamin K antagonists (VKAs) associated coagulopathy is a cornerstone of pre-endoscopic assessment of anticoagulated patients presenting with acute gastrointestinal bleeding. Aims: To evaluate physician attitudes in the management of VKAs-associated coagulopathy in patients presenting with gastrointestinal bleeding and to assess their compliance to current practice guidelines. Design: Cross sectional physician web-based survey amongst regional members of three Italian Gastroenterological Societies (AIGO, SIED, SIGE) practicing in academic medical centres or community hospitals. Physicians were asked to provide management preferences in four hypothetical case-scenarios describing patients with warfarin-associated coagulopathy presenting with gastrointestinal bleeding of varying severity. Results: A total of 105 out of 238 (48%) members responded; mean age ± SD: 46.3 ± 9.8 years, 68% male. The adherence to practice guidelines for the reversal of warfarin-induced anticoagulation ranged from 24% to 86% and it was not dependent on age, years and type of specialisation, hospital setting and active performance of " on call" emergency endoscopy or not. Conclusions: There is a considerable variability amongst physicians in the management of gastrointestinal bleeding patients with VKAs-associated coagulopathy and a poor compliance to practice guidelines. These data indicate that better education is needed in this area.
AB - Background: The management of vitamin K antagonists (VKAs) associated coagulopathy is a cornerstone of pre-endoscopic assessment of anticoagulated patients presenting with acute gastrointestinal bleeding. Aims: To evaluate physician attitudes in the management of VKAs-associated coagulopathy in patients presenting with gastrointestinal bleeding and to assess their compliance to current practice guidelines. Design: Cross sectional physician web-based survey amongst regional members of three Italian Gastroenterological Societies (AIGO, SIED, SIGE) practicing in academic medical centres or community hospitals. Physicians were asked to provide management preferences in four hypothetical case-scenarios describing patients with warfarin-associated coagulopathy presenting with gastrointestinal bleeding of varying severity. Results: A total of 105 out of 238 (48%) members responded; mean age ± SD: 46.3 ± 9.8 years, 68% male. The adherence to practice guidelines for the reversal of warfarin-induced anticoagulation ranged from 24% to 86% and it was not dependent on age, years and type of specialisation, hospital setting and active performance of " on call" emergency endoscopy or not. Conclusions: There is a considerable variability amongst physicians in the management of gastrointestinal bleeding patients with VKAs-associated coagulopathy and a poor compliance to practice guidelines. These data indicate that better education is needed in this area.
KW - Coagulopathy
KW - Gastrointestinal bleeding
KW - Survey
KW - Warfarin
UR - http://www.scopus.com/inward/record.url?scp=79955896036&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79955896036&partnerID=8YFLogxK
U2 - 10.1016/j.dld.2010.11.004
DO - 10.1016/j.dld.2010.11.004
M3 - Article
C2 - 21168374
AN - SCOPUS:79955896036
VL - 43
SP - 444
EP - 447
JO - Digestive and Liver Disease
JF - Digestive and Liver Disease
SN - 1590-8658
IS - 6
ER -