The preoperative approach of Turkish ophthalmologists concerning anticoagulant/antiaggregant therapy: a questionnaire study

Yıl 2020, Cilt: 13 Sayı: 1, 1 - 8, 21.01.2020

Selma Urfalıoglu , Abdullah Beyoglu

https://doi.org/10.31362/patd.605519

Öz

Purpose:
The
aim of the study was to update the information about
anticoagulant/antiaggregant drugs for ophthalmologists.

Materials
and Methods: A questionnaire investigating the information
about anticoagulant/antiaggregant drugs and perioperative management of these
agents was answered by 106 ophthalmologists.

Results:
The participants included residents by 19 (17.9%),
specialists by 69 (65.1%), academic members by 18 (17%); 47.2% of the participants
have been serving in ophthalmology field for ≥10 years. 

It was detected that 58 (54.7%) participants
were trained about these drugs; and 78 (73.5%) participants have knowledge on
terms as well as differentiation of anticoagulant/antiaggregant agents. There
was not any difference between the physicians in terms of training and drug
differentiation (p=0.970, p=0.948, respectively). Six or more
preparations were known by 10.4% of the participants whereas 4 to 6
preparations were known by 48.1% of the participants and 1 to 3 preparations
were known by 41.5% of the participants. 

In consideration
of perioperative drug management, it was determined that 52 (49.1%) physicians
recommend discontinuation of the medications whereas 24 (22.6%) physicians
suggest continuation of drug use. The rates for drug
discontinuation were found higher in university hospitals as well as training
and research hospitals when compared with public hospitals and private
hospitals (p=0.03).

Conclusion: Information on anticoagulant/antiaggregant
agents as well as perioperative management is essential to prevent
complications. Therefore, training in ophthalmology clinics where the patients
who are treated with aforesaid drugs may increase the awareness on this issue.

Anahtar Kelimeler

Ophthalmologist, anticoagulant/antiaggregant, hemorrhagic complication, perioperative management

Türk oftalmologların antikoagülan/antiagregan tedavisi alan hastalara preoperatif yaklaşımı: bir anket çalışması

Öz

Amaç: Bu
çalışmanın amacı, oftalmologların antikoagülan/antiagregan ilaçlar hakkındaki
bilgilerini güncellemektir.

Gereç
ve Yöntem: Antikoagülan/antiagregan ilaçlar ve bu
ajanların perioperatif yönetimi hakkındaki bilgileri araştıran bir anket 106
oftalmolog tarafından cevaplandı.

Bulgular:
Katılımcıların
19'u (%17,9) asistan, 69'u (%65,1) uzman, 18'i (%17) akademisyen olup; %47,2'si
10 yıldan beri oftalmoloji alanında hizmet vermektedir.

Elli sekiz (%54,7) katılımcının bu ilaçlar
hakkında bir eğitim aldığı, 78 (%73,5) katılımcının antikoagülan/antiagregan
ajanların ayırt edilebilmesinin yanı sıra; konuyla ilgili terimler hakkında da
bilgi sahibi olduğu görüldü. Hekimler arasında eğitim alma ve ilaçların
tanınması açısından fark yoktu (sırasıyla, p=0,970,
p=0,948). Katılımcıların %10,4'ü 6
veya daha fazla ilacı, %48,1'i 4-6 arası ilacı, %41,5'i 1-3 arası ilacı
biliyordu.

Perioperatif ilaç
yönetimi göz önüne alındığında, 52 (%49,1) hekimin ilaç tedavisinin
kesilmesini, 24 (%22,6) hekimin ise ilaç kullanımının devamını önerdiği
görüldü. İlaç kesilme oranları; üniversite hastaneleri ve eğitim ve araştırma
hastanelerinde, kamu hastaneleri ve özel hastanelere kıyasla daha yüksek
bulundu (p=0,03).

Sonuç: Antikoagülan/antiagregan ilaçlar ve
bu ajanların perioperatif yönetimleri hakkındaki bilgilerin bilinmesi
komplikasyonların önlemesi açısından esastır. Bu nedenle; bu ilaçlar ve
ilaçlarla tedavi edilen hastalarla ilgili oftalmoloji kliniklerinde uygulanacak
düzenli eğitim, bu konudaki farkındalığı artırabilir.

Anahtar Kelimeler

Oftalmolojist, antikoagülan/antiagregan, hemorajik komplikasyon, perioperatif yönetim

Kaynakça

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