The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin Treatment
Objective: Warfarin is the most commonly used oral anticoagulant around the world. The most important complication of warfarin is bleeding. This study was conducted to evaluate the patients who were admitted to our emergency department due to complications related to warfarin treatment.Material and...
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| Format: | Article |
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Galenos Yayinevi
2014-12-01
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| Series: | Eurasian Journal of Emergency Medicine |
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http://eajem.galenos.com.tr/archives/archive-detail/article-preview/the-analysis-of-patients-admitted-to-the-emergency/21936
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| author | Mustafa Burak Sayhan Serhat Oğuz Volkan Yüksel Serhat Hüseyin Esin Seçgin Sayhan Gökçe Yağcı |
| author_facet | Mustafa Burak Sayhan Serhat Oğuz Volkan Yüksel Serhat Hüseyin Esin Seçgin Sayhan Gökçe Yağcı |
| author_sort | Mustafa Burak Sayhan |
| collection | DOAJ |
| description | Objective: Warfarin is the most commonly used oral anticoagulant around the world. The most important complication of warfarin is bleeding. This study was conducted to evaluate the patients who were admitted to our emergency department due to complications related to warfarin treatment.Material and Methods: Eighty-nine patients (32 females, 57 males) were enrolled into this retrospective study. The patients were evaluated according to their age, gender, duration of therapy (year), co-administered drugs, bleeding localization, treatments, amount of blood transfusions, duration of bleeding, initial and after-treatment PT, INR, complete blood count, and aPTT.Results: Mean duration of anticoagulant use was 3.05±2.87 years. The most common indication of warfarin was atrial fibrillation. The most frequent bleeding localization was the upper gastrointestinal tract. Thirty-four (38.2%) of the patients had major bleeding, and 55 (61.8%) had minor bleeding. Age, co-administered drugs, amount of erythrocyte suspension transfusion, presence of previous warfarin overdose history, Hb levels at admission, and duration of follow-up in the ED were different between the bleeding types.Conclusion: In this study, we found that the bleeding complications of warfarin were associated with the aged population, presence of previous warfarin overdose history, and concomitant drug use. |
| first_indexed | 2024-04-10T11:53:26Z |
| format | Article |
| id | doaj.art-1acf57d26bfd4dc79971286260500256 |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T11:53:26Z |
| publishDate | 2014-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-1acf57d26bfd4dc799712862605002562023-02-15T16:17:00ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482014-12-0113419419810.5152/jaem.2014.07513049054The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin TreatmentMustafa Burak Sayhan0Serhat Oğuz1Volkan Yüksel2Serhat Hüseyin3Esin Seçgin Sayhan4Gökçe Yağcı5 Department of Emergeny Medicine, Trakya University Medical School, Edirne, Turkey Department of General Surgery, Trakya University Medical School Edirne, Turkey Department of Cardiovascular Surgery, Trakya University Medical School, Edirne, Turkey Department of Cardiovascular Surgery, Trakya University Medical School, Edirne, Turkey Department of Public Health, Trakya Üniversitesi Medical School, Edirne, Turkey Department of Emergeny Medicine, Trakya University Medical School, Edirne, Turkey Objective: Warfarin is the most commonly used oral anticoagulant around the world. The most important complication of warfarin is bleeding. This study was conducted to evaluate the patients who were admitted to our emergency department due to complications related to warfarin treatment.Material and Methods: Eighty-nine patients (32 females, 57 males) were enrolled into this retrospective study. The patients were evaluated according to their age, gender, duration of therapy (year), co-administered drugs, bleeding localization, treatments, amount of blood transfusions, duration of bleeding, initial and after-treatment PT, INR, complete blood count, and aPTT.Results: Mean duration of anticoagulant use was 3.05±2.87 years. The most common indication of warfarin was atrial fibrillation. The most frequent bleeding localization was the upper gastrointestinal tract. Thirty-four (38.2%) of the patients had major bleeding, and 55 (61.8%) had minor bleeding. Age, co-administered drugs, amount of erythrocyte suspension transfusion, presence of previous warfarin overdose history, Hb levels at admission, and duration of follow-up in the ED were different between the bleeding types.Conclusion: In this study, we found that the bleeding complications of warfarin were associated with the aged population, presence of previous warfarin overdose history, and concomitant drug use. http://eajem.galenos.com.tr/archives/archive-detail/article-preview/the-analysis-of-patients-admitted-to-the-emergency/21936 Oral anticoagulant treatmentwarfarinbleedingemergency department |
| spellingShingle | Mustafa Burak Sayhan Serhat Oğuz Volkan Yüksel Serhat Hüseyin Esin Seçgin Sayhan Gökçe Yağcı The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin Treatment Eurasian Journal of Emergency Medicine Oral anticoagulant treatment warfarin bleeding emergency department |
| title | The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin Treatment |
| title_full | The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin Treatment |
| title_fullStr | The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin Treatment |
| title_full_unstemmed | The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin Treatment |
| title_short | The Analysis of Patients Admitted to the Emergency Department Due to Complications Related to Warfarin Treatment |
| title_sort | analysis of patients admitted to the emergency department due to complications related to warfarin treatment |
| topic | Oral anticoagulant treatment warfarin bleeding emergency department |
| url |
http://eajem.galenos.com.tr/archives/archive-detail/article-preview/the-analysis-of-patients-admitted-to-the-emergency/21936
|
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