安全有效的抗凝使用：抗凝管理的案例研究。

IF 5.5 2区医学 Q1 HEMATOLOGY

Journal of Thrombosis and Haemostasis Pub Date : 2024-12-10 DOI:10.1016/j.jtha.2024.11.024

Jori E May, Arthur L Allen, Bethany T Samuelson Bannow, Carlee O'Connor, Katelyn W Sylvester, Scott Kaatz

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引用次数: 0

摘要

抗凝剂的使用是普遍的，并与显著的潜在危害相关。抗凝管理实践已经出现，以解决护理差距，促进安全，有效和成本意识抗凝在整个卫生保健系统的使用。在这里，我们报告了4例患者病例，描述了抗凝治疗中常见的挑战：直接口服抗凝剂（DOACs）的剂量不当，肝素诱导的血小板减少症（HIT）的诊断和管理，围手术期抗凝管理，抗凝时大量月经出血。我们讨论了成功的管理项目的可用例子，这些项目可以解决每个病例的挑战，展示了在抗凝管理方面的投资如何改善患者的预后。

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Safe and effective anticoagulation use: case studies in anticoagulation stewardship.

Anticoagulant use is prevalent and associated with significant potential for harm. Anticoagulation stewardship practice has emerged to address care gaps and promote safe, effective, and cost-conscious anticoagulation use across health care systems. We present 4 patient cases describing common challenges in anticoagulation management: inappropriate dosing of direct oral anticoagulants, the diagnosis and management of heparin-induced thrombocytopenia, periprocedural anticoagulation management, and heavy menstrual bleeding on anticoagulation. We discuss available examples of successful stewardship programs that can address the challenges of each case, demonstrating how an investment in anticoagulation stewardship can improve patient outcomes.

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来源期刊

Journal of Thrombosis and Haemostasis 医学-外周血管病

CiteScore

24.30

自引率

3.80%

发文量

321

审稿时长

1 months

期刊介绍： The Journal of Thrombosis and Haemostasis (JTH) serves as the official journal of the International Society on Thrombosis and Haemostasis. It is dedicated to advancing science related to thrombosis, bleeding disorders, and vascular biology through the dissemination and exchange of information and ideas within the global research community. Types of Publications: The journal publishes a variety of content, including: Original research reports State-of-the-art reviews Brief reports Case reports Invited commentaries on publications in the Journal Forum articles Correspondence Announcements Scope of Contributions: Editors invite contributions from both fundamental and clinical domains. These include: Basic manuscripts on blood coagulation and fibrinolysis Studies on proteins and reactions related to thrombosis and haemostasis Research on blood platelets and their interactions with other biological systems, such as the vessel wall, blood cells, and invading organisms Clinical manuscripts covering various topics including venous thrombosis, arterial disease, hemophilia, bleeding disorders, and platelet diseases Clinical manuscripts may encompass etiology, diagnostics, prognosis, prevention, and treatment strategies.