Predictors of warfarin-induced bleeding in a South Indian cardiology unit
| Autor: | Thiyagu Rajakannan, R Padmakumar, R Vilakkathala, Surulivelrajan Mallayasamy, Uday Venkant Mateti, Haritha Nekkanti |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study medicine.drug_class Streptokinase lcsh:Medicine Diabetes mellitus Internal medicine Chi-square test medicine cross-sectional study Aspirin lcsh:R5-920 business.industry Anticoagulant lcsh:R Warfarin General Medicine Clopidogrel medicine.disease bleeding cardiology Cardiology Original Article business lcsh:Medicine (General) medicine.drug |
| Zdroj: | Perspectives in Clinical Research, Vol 3, Iss 1, Pp 22-25 (2012) Perspectives in Clinical Research |
| ISSN: | 2229-3485 |
| Popis: | Objectives: Warfarin-induced bleedingresults in increased morbidity and mortality and higher cost of healthcare. The objective of the study is to identify the predictors of warfarin-induced bleeding in the Cardiology Unit of a teaching hospital. Materials and Methods: A cross-sectional study was carried out for a period of six months in a tertiary care teaching hospital. A total of 235 patients were enrolled in the study, to identify the predictors of warfarin-induced bleeding. Only prescriptions with warfarin were selected for the study. The chi square test was used to find the association between demography and risk factors. Results: Out of 235 patients, 61 (25.95%) had developed warfarin-induced bleeding and the majority were in the age group of 41 – 61 years (60.65%), and it was also found to be higher in women (62.29%). The length of stay was > 14 days (65.57%) and the number of drugs prescribed was in the range of 6 – 12 (52.45%). Aspirin (40.98%), Heparin (36.06%), Clopidogrel (22.95%), and Streptokinase (14.75%) were the most common drugs involved, and other comorbid conditions like diabetes (37.70%), hypertension (32.78%), smoking (57.37%), and alcohol (32.78%) were found to be major predictors of warfarin-induced bleeding in this study. The severity of warfarin-induced most of the bleeding reactions were moderate (44.26%) and the most common site of bleeding was gastrointestinal system (34.42%). Conclusion: Predictors of warfarin-induced bleeding were found to be female gender, length of stay, number of medications, drugs like aspirin, heparin, and clopidogrel, and other comorbidities like smoking, alcohol, and hypertension. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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