Structure and function of a perioperative anticoagulation management clinic
Noah H Spencer1, Laurie A Sardo2, Joanne P Cordell1
1St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, Canada.
Thrombosis Research
|September 9, 2019
Summary
A specialized clinic improves perioperative anticoagulation management for patients undergoing surgery. This model enhances patient safety, education, and potentially reduces healthcare costs.
Area of Science:
- Cardiology
- Pharmacology
- Health Services Research
Background:
- Perioperative management of anticoagulated patients is complex.
- Existing clinical studies inform management but lack delivery assessment.
- A perioperative anticoagulation clinic model offers a structured approach to care delivery.
Purpose of the Study:
- To describe the operational model of a perioperative anticoagulation clinic.
- To outline the management of patients on anticoagulants requiring surgery, including interruption, resumption, and bridging.
- To assess the patient profile and clinic benefits for perioperative management and education.
Main Methods:
- Examination of the operational model of a perioperative anticoagulation clinic.
- Description of patient processing and management protocols.
- Analysis of patient demographics and outcomes over an 18-month period.
Main Results:
- 1061 patients were assessed over 18 months.
- Common indications included atrial fibrillation (55.0%) and venous thromboembolism (26.5%).
- Warfarin (44.1%), direct oral anticoagulants (37.1%), and low-molecular-weight heparin (12.3%) were frequently used.
Conclusions:
- The perioperative anticoagulation clinic model optimizes patient safety.
- It enhances patient and family education through a multidisciplinary team approach.
- This model has the potential to improve patient outcomes and minimize healthcare costs.
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