Journal article
Physicians' attitudes and the use of oral anticoagulants: surveying the present and envisioning future
Journal of thrombosis and thrombolysis, v 16(1-2), pp 33-37
01 Aug 2003
PMID: 14760209
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Atrial fibrillation has the highest prevalence in the elderly. While the elderly are at the highest risk for stroke and would benefit the most from anticoagulation, they are also the least likely to receive anticoagulation. In a pooled analysis of the primary prevention trials, warfarin reduced stroke by 68% compared with placebo, and aspirin reduced stroke by 18%. Age, history of hypertension, diabetes, heart failure or reduced left ventricular function, and previous transient ischemic events and stroke are independent risk factors for stroke in patients with atrial fibrillation. Less than 50% of the elderly who have clear-cut indications and no contraindications for warfarin receive anticoagulant therapy. This low use of warfarin is driven by many factors, but physicians' fear of hemorrhage is among the most important. Better adherence to evidence-driven guidelines, better patient and physician education, point-of-care monitoring of INR and the future development of user friendly anticoagulant drugs are likely to result in higher rates of anticoagulation use.
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Details
- Title
- Physicians' attitudes and the use of oral anticoagulants: surveying the present and envisioning future
- Creators
- Meghan York - Drexel UniversityAshish Agarwal - Drexel UniversityMichael Ezekowitz - Drexel UniversityAkash Agarwal - Surgery
- Publication Details
- Journal of thrombosis and thrombolysis, v 16(1-2), pp 33-37
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000188716300006
- Scopus ID
- 2-s2.0-1842778900
- Other Identifier
- 991019168134804721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Hematology
- Peripheral Vascular Disease