A Tool Integrated into the Electronic Health Record to Guide Proper Decision-Making Regarding Peri-Endoscopic Anticoagulant Management: A Retrospective Cohort Study
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View abstract on PubMed
Summary
This summary is machine-generated.A new electronic health record tool aids decisions on anticoagulant management during endoscopic procedures. The tool was used correctly in 89% of cases, with low rates of bleeding and thromboembolic events observed.
Area Of Science
- Medical Informatics
- Clinical Decision Support Systems
- Pharmacology
Background
- Anticoagulants like VKAs and DOACs require careful management during endoscopic procedures to balance bleeding and thromboembolic risks.
- Peri-endoscopic management decisions involve stopping anticoagulants and potential bridging therapy.
- An electronic health record (EHR) tool was developed to assist in these complex decisions.
Purpose Of The Study
- To assess the proper utilization of an EHR-integrated decision-making tool for peri-endoscopic anticoagulant management.
- To evaluate the incidence of bleeding and thromboembolic events following the tool's implementation.
Main Methods
- Retrospective study of endoscopies performed between 2018 and 2021.
- Included patients on Vitamin-K antagonists (VKA) or direct oral anticoagulants (DOAC).
- Analysis of tool usage accuracy and event rates.
Main Results
- 986 endoscopies were analyzed; 89% of tool uses were correct.
- The primary error was incorrect bleeding risk selection (7.5%).
- Low cumulative incidence of bleeding (0.5% for DOAC, 0% for VKA) and thromboembolic events (0.2% for each).
Conclusions
- The EHR-integrated tool aids peri-endoscopic anticoagulant management.
- Analysis identified areas for tool improvement.
- Thromboembolic and major bleeding risks were low in the studied cohort.
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