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Dergiler / Eurasian Journal of Emergency Medicine / 2020 / Cilt: 19 - Sayı: 4

Utilization of Coagulation Studies in Emergency Department: A Chart Review

Ahmad WAZZAN
Abdulhadi TASHKANDI
Sayfa
186–190
Yayın Tarihi
2022-10-11
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Routine coagulation studies are notindicated in all patients presenting to the ED.

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Amaç & Hipotez:Aim: This study aimed to determine the prevalence of abnormal coagulation studies in emergency department (ED) patients with and toinvestigate the relationship among chief complaints, past medical history or drug history, and abnormal results of coagulation studies.Materials and Methods: In this retrospective chart review study, ED records of patients who had undergone coagulation studies wereobtained.
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Temel Bulgular & Veri:Patient data, including demographics, chief complaints, past medical history, drug history, and clinical impression, were reviewed.Descriptive and statistical analyses were performed.Results: A total of 322 charts were reviewed.
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Sonuç & Katkı:Routine coagulation studies are notindicated in all patients presenting to the ED.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Aim: This study aimed to determine the prevalence of abnormal coagulation studies in emergency department (ED) patients with and toinvestigate the relationship among chief complaints, past medical history or drug history, and abnormal results of coagulation studies.Materials and Methods: In this retrospective chart review study, ED records of patients who had undergone coagulation studies wereobtained. Patient data, including demographics, chief complaints, past medical history, drug history, and clinical impression, were reviewed.Descriptive and statistical analyses were performed.Results: A total of 322 charts were reviewed. Thirteen patients (4.04%) had an abnormal international normalized ratio (INR), of which six(46.2%) were on warfarin therapy. Although chest pain was the most prevalent chief complaint (10.4%), no statistically significant relationshipwas found between chief complaints and INR levels. Patients with past medical history of thromboembolic risk were likely to have anabnormal INR [likelihood ratio (LR): 8.8]. Patients on warfarin therapy had a statistically significant likelihood of having abnormal INR (LR:32.8) (p=0.000). Coagulation profiling was repeated in 4.35% of the patients, with a request gap mean of 6 days.Conclusion: Chief complaints upon presentation to the ED are not good predictors of INR abnormalities. However, warfarin therapy and pastmedical history of thromboembolic events demonstrated robust association with abnormal INR levels. Routine coagulation studies are notindicated in all patients presenting to the ED.

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Bu Makaleye Atıf Yap

WAZZAN, A., TASHKANDI, A. (2022). Utilization of Coagulation Studies in Emergency Department: A Chart Review. Eurasian Journal of Emergency Medicine, Cilt: 19 - Sayı: 4, 186–190. https://ajindex.com/articles/507970

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