Antithrombosis stewardship across the care spectrum: optimizing transitions in venous thromboembolism

Area of Science:

• Cardiology
• Hematology
• Pharmacology

Background:

• The global burden of venous thromboembolism (VTE) is increasing, necessitating complex patient management across fragmented healthcare settings.
• Care transitions for VTE patients are more frequent and intricate compared to stable anticoagulation management in conditions like atrial fibrillation.
• Optimizing antithrombotic therapies during these transitions is crucial for mitigating patient risks.

Purpose of the Study:

• To highlight common challenges encountered during VTE care transitions.
• To provide evidence-based, stewardship-guided strategies for optimizing antithrombotic use.
• To improve patient outcomes throughout the VTE care continuum.

Main Methods:

• Review of current literature and clinical guidelines.
• Utilization of case-based scenarios to illustrate practical challenges.
• Focus on stewardship principles for medication management.

Main Results:

• Identification of key vulnerabilities in VTE care transitions.
• Presentation of actionable strategies for optimizing anticoagulation.
• Emphasis on risk mitigation and improved therapeutic efficacy.

Conclusions:

• Effective management of VTE requires proactive strategies during care transitions.
• Stewardship-guided approaches are essential for safe and effective antithrombotic therapy.
• Optimizing transitions can significantly enhance patient outcomes in VTE management.