@article{article_1529105, title={Examining The Influence of Social Determinants on Bleeding Outcomes in Anticoagulation Therapy: A Scoping Review}, journal={Sağlık Bakım ve Rehabilitasyon Dergisi}, volume={3}, pages={22–39}, year={2024}, author={Turgut, Aykut and Yiğit, Ümmühan and Soysal, Ganime Esra and Özcan İlçe, Arzu}, keywords={Antikoagülan, Kanama, Cinsiyet, Tromboz, Etnisite}, abstract={Background Oral anticoagulation (OAC) control reduces the likelihood of unwanted bleeding and delays the patient’s blood clotting. Differences in prescription patterns and bleeding events of oral anticoagulants have already been observed concerning social determinants, such as socioeconomic status, gender, age, race/ethnicity, alcohol use, etc. Purpose The objective of the study is to examine the effect of social determinants on bleeding in patients using oral anticoagulants. Conclusions Low socioeconomic status is a significant determinant in bleeding-related deaths among these patients. Low-income individuals and black patients are less likely to access oral anticoagulant therapy. Older age is a crucial social determinant of bleeding with anticoagulant therapy, and the bleeding risk rises with advancing age. Although the gender variable did not have a significant effect in terms of International Normalized Ratio (INR) control and bleeding risk. General alcohol use is not a social determinant in determining the risk of bleeding. However, the heavy alcohol use and socioeconomic status of the patients should be assessed in determining the risk of bleeding. Clinical implications Ethnicity and socioeconomic status are important parameters in the management of patient care by healthcare professionals and in evaluating the risk of bleeding in patients using anticoagulant therapy. Patient history should be carefully evaluated by nurses and more frequent INR monitoring should be done in these patients. The literature indicates that more research is needed to understand underlying factors and develop strategies to address disparities in the use of oral anticoagulant therapy among patients of especially different racial and alcohol social determinants.}, number={2}, publisher={Rehabilitasyon Hemşireleri Derneği}