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Internal medicine journal · Sep 2022
Trends in direct oral anticoagulant use in patients presenting with acute stroke.
- Kang H Teow, Peter S Tan, Tanya Frost, Helen M Dewey, Marija Borosak, and ChoiPhilip M CPMC0000-0003-0339-3439Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.Department of Neuroscience, Box Hill Hospital, Eastern Health, Melbourne, Victoria, Aus.
- Eastern Health Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
- Intern Med J. 2022 Sep 1; 52 (9): 1633-1637.
AbstractAcute ischaemic strokes occur despite the use of direct oral anticoagulants (DOACs). A retrospective review was conducted at a high-volume primary stroke centre over a 3-year period to assess the acute management of stroke presentations in patients prescribed DOACs. During the time period of the study, 103 of 195 anticoagulated stroke patients presented within the timeframe for thrombolysis and only 15 patients had DOAC plasma level assays performed. Of these 103, 5 received thrombolysis; however, DOAC level was not a factor in these cases.© 2022 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.
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