Novel oral anticoagulants in oral and maxillofacial surgery: a comparison with warfarin between 2012-2014
Keywords:Bleeding, New anticoagulants, Rivaroxaban, Warfarin, Surgery
AbstractThe records of anticoagulated patients who attended a maxillofacial surgical unit between 2012 and 2014 were reviewed. Data on 319 procedures performed on 249 patients were retrieved. During this period only seven patients (2.8%) were taking novel anticoagulants (NOACs) compared with 242 (97.2%) on warfarin. The seven patients underwent 11 surgical procedures. None of the seven were seen in 2012, three were seen in January 2013, the remaining four in 2014. Twenty-four (7.5%) of the 319 episodes were followed by prolonged bleeding; all occurred in patients taking warfarin. The seven NOAC patients’ hospital notes contained no recorded documentation of renal function, specifically the creatinine clearance or estimated glomerular filtration rate.
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