WebMar 27, 2024 · Additionally, these updated guidance recommendations noted that there was little evidence to support the use of peak or trough levels in DOAC management for patients with obesity. Therefore, in contrast to the 2016 recommendations, the 2024 updated guidance recommendations suggest not to regularly follow peak or trough DOAC drug … WebMay 16, 2024 · Consensus guidelines for anticoagulant therapy in NVAF or VTE have either discussed obesity obliquely or discouraged DOAC use in patients weighing > 120 kg, or with a BMI > 35–40 kg/m 2. However, the recent 2024 International Society on Thrombosis and Haemostasis (ISTH) guidelines suggest that standard doses of apixaban or …
Anticoagulation Treatment and Outcomes of Venous …
WebNov 4, 2024 · Many severely obese patients with acute VTE are receiving DOAC therapy. DOAC therapy was associated with similar rates of bleeding and recurrent VTE as warfarin therapy in severely obese patients. DOAC medications can be used safely in severely obese patients with acute and chronic VTE. Study Questions: WebFeb 16, 2024 · International guidance published in 2016 stated that DOACs could be used in standard doses in patients with obesity up to a body mass index [BMI] of 40 kg/m 2, but should not be used in those with severe obesity (BMI > 40 kg/m 2) owing to limited supporting data at the time. first aalborg
ISTH 2024: New guidelines on DOAC use in obese patients - the …
WebAug 12, 2024 · Aug 12, 2024. On August 11, the American College of Chest Physicians (CHEST) released 44 new evidence-based recommendations in their new guidelines for perioperative management of antithrombotic therapy, which were published with the intention of replacing the 2012 guidelines on the subject. James Douketis, MD. WebJul 27, 2016 · The consult team was concerned that direct oral anticoagulation (DOAC) medications would be ineffective due to the patient’s obesity. She was started on warfarin instead, in addition to parenteral therapy for acute PE. Discussion. Venous thromboembolism (VTE) is defined by the diagnosis of DVT, PE, or both. In the United … Web• Dual therapy (clopidogrel + DOAC) for up to 6 months (in chronic coronary syndrome) or up to 12 months (in acute coronary syndrome), followed by • DOAC monotherapy ... Obesity The International Society on Thrombosis and Haemostasis recommends that DOACs should not be used in patients with a BMI of > 40kg m2 or a weight of > 120kg.[19] first aa