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首页> 外文期刊>ANZ journal of surgery >Frequency and cost of acute surgical admissions in over‐anticoagulated patients: over‐anticoagulation in the community
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Frequency and cost of acute surgical admissions in over‐anticoagulated patients: over‐anticoagulation in the community

机译:过度抗凝患者急性手术入学的频率和成本:社区中的过度抗凝

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Background Anticoagulation treatment in the community is common. This investigation was undertaken to determine the frequency of patient surgical admission with conditions associated with over‐anticoagulation in the community and the surgical resource required to effectively and safely manage these patients acutely. Methods Hospital discharge data on individual patients admitted to Waitemata District Health Board hospitals between December 2014 and November 2015 inclusive were reviewed. Data were extracted on individual patients with relevant ICD‐10 codes ( D683 , Y442 , Y443 ). Individual records for patients admitted to general surgery were then reviewed and costing information related to admissions extracted. Results A total of 551 patients were admitted in a 12‐month period (4.8 admissions/1000 warfarin users and 2.4 admissions/1000 dabigatran users) for conditions associated with over‐anticoagulation, with 35 admitted to the general surgery service, of whom 29 were taking warfarin and six taking dabigatran. A total of 21 patients were admitted with haemorrhagic conditions, and 14 over‐anticoagulated patients were admitted with general surgical conditions requiring treatment. All patients were managed by withholding anticoagulant medication, 12 required formal reversal, three required red cell transfusion and four haemostatic procedures. The average hospital stay was 4 days, with inpatient costs of NZ $3500. Conclusion Management of patients admitted with over‐anticoagulation in the community is a significant surgical workload; however, acute management is usually straightforward.
机译:背景技术抗凝治疗群体是常见的。进行了这种调查,以确定患者手术入院的频率与社区中的过度抗凝和有效和安全地管理这些患者的外科手术资源。方法审查了2014年12月期间录取为适用于旅行者区健康委员会的个人患者的医院排放数据包容。在各个相关ICD-10代码(D683,Y442,Y443)上提取数据。然后审查了录取普通手术的患者的个别记录,并提取了与录取有关的资料。结果共有551名患者在12个月期间(4.8录取/ 1000华林用户和2.4录取/ 1000达比吉坦用户)进行了录取,用于与过度刺激相关的条件,35人承认普通外科服务,其中29人服用华法林和六次服用dabigatran。共有21例患者患有出血症的病症,14例过度抗凝患者有需要治疗的一般手术条件。所有患者通过扣留抗凝血药物治疗,12例需要正式逆转,三种所需的红细胞输血和四种血压手术。平均医院住宿时间为4天,含税资料3500美元。结论社区过度抗凝患者的患者的管理是一个重要的手术工作量;但是,急性管理通常很简单。

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