当前位置： SCI文献检索 > JOURNAL OF CLINICAL ANESTHESIA期刊下所有文献 > A retrospective study showing the extent of compliance with perioperative guidelines in patients with coronary stents with regard to double antiplatelet therapy.

A retrospective study showing the extent of compliance with perioperative guidelines in patients with coronary stents with regard to double antiplatelet therapy.

Abstract：

STUDY OBJECTIVE:To evaluate perioperative dual antiplatelet therapy management in patients with previously placed coronary stents. DESIGN:Retrospective medical record review. SETTING:Academic medical center. PATIENTS:A total of 1891 surgical cases performed at Vanderbilt University Medical Center in 2012 were evaluated using a perioperative database. Of these, 161 had complete data records that were evaluated using 2 evidence-based and expert opinion-supported protocols. INTERVENTIONS:N/A. MEASUREMENTS:This study is meant to evaluate perioperative antiplatelet management decisions in patients with coronary stents. MAIN RESULTS:Management decisions were consistent with guidelines regarding antiplatelet therapy in 13% (21/161) of patients. Of the 87% (140/161) of cases where decisions were not consistent, 88% (123/140) were due to discontinuing aspirin preoperatively when there was not a high risk of surgical bleeding. CONCLUSIONS:This study revealed suboptimal adherence to current perioperative antiplatelet management guidelines in patients with coronary stents. The lack of adherence to current guidelines is concerning and could be used to support the notion of an anesthesiologist-led Perioperative Surgical Home.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Woolard AA,Ehrenfeld JM,Eagle SS,Wanderer JP

doi

10.1016/j.jclinane.2016.01.030

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

179-84

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(16)00110-0

journal_volume

33

pub_type

杂志文章

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