Characteristics, treatment and outcome of bleeding after tooth extraction in patients on DOAC and phenprocoumon compared to non-anticoagulated patients-a retrospective study of emergency department consultations
| Autor: | Fabian Schlittler, Aristomenis K. Exadaktylos, Michael Nagler, Martin Müller, Benoit Schaller, Thomas C. Sauter |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Administration Oral Hemorrhage 610 Medicine & health Phenprocoumon Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans In patient Young adult General Dentistry Aged Retrospective Studies Aged 80 and over Rivaroxaban business.industry Significant difference Anticoagulants Retrospective cohort study 030206 dentistry Emergency department Middle Aged Surgery Treatment Outcome 030220 oncology & carcinogenesis Tooth Extraction Female Apixaban Emergency Service Hospital business Switzerland medicine.drug |
| Zdroj: | Müller, Martin; Schlittler, Fabian; Schaller, Benoît; Nagler, Michael; Exadaktylos, Aristomenis; Sauter, Thomas (2019). Characteristics, treatment and outcome of bleeding after tooth extraction in patients on DOAC and phenprocoumon compared to non-anticoagulated patients-a retrospective study of emergency department consultations. Clinical oral investigations, 23(5), pp. 2273-2278. Springer-Verlag 10.1007/s00784-018-2676-7 |
| DOI: | 10.7892/boris.123643 |
| Popis: | OBJECTIVES Bleeding after tooth extraction range from minor bleeding to life-threating haemorrhagic shock and are among the leading complications in patients under oral anticoagulation with direct oral anticoagulants (DOACs) or phenprocoumon. Little is known about how anticoagulation in patients under DOAC or phenprocoumon alters the characteristics, treatment or outcome of bleeding events, in comparison to non-anticoagulated patients. METHODS Patients admitted to a tertiary ED in Bern, Switzerland, from June 1st 2012 to 31st May 2016 with bleeding related to tooth extraction under DOAC, phenprocoumon or without anticoagulation, were compared. RESULTS Out of 161,458 emergency consultations, 64 patients with bleeding from tooth extraction were included in our study. In anticoagulation groups, we found significantly more delayed bleeding events than in patients without anticoagulation (9 (81.3%) DOAC, 19 (86.4%) phenprocoumon, 8 (30.8%) no anticoagulation, p |
| Databáze: | OpenAIRE |
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