Journal of Hematology & Thromboembolic Diseases
Open Access

Woodland Avenue Practice, Luton, UK

Publications

• Original Research Article   
  Accuracy of NOAC Prescribing in Primary and Secondary Care: Retrospective Cohort Study
  Author(s): Joseph R Smith* and Manraj Barhey
  
  This retrospective multi-centred cohort study assessed non-vitamin K oral anticoagulation (NOAC) prescribing in 4 separate general practices in the UK. Using NICE clinical knowledge skills (NICE-CKS) guidelines we assessed the accuracy and validity of NOAC prescribing. We identified 337 patients on NOACs. The most commonly prescribed NOAC was Apixaban (65.3%), followed by Rivaroxaban (20.5%), Dabigatran (10.4%) and Edoxaban (3.8%). Prescribing was predominantly carried out in secondary care (wards 51.9%, clinics 19.3%) with 28.8% of prescribing in general practice. The most common indication requiring anticoagulation was arrhythmias (80.1%), followed by venous thrombus embolus (VTE) (18.1%). The remaining indications were for unlicensed use (1.8%) including left ventricular thrombus, portal vein thrombus, and cardiac transplant. Furthermore, of the patients on .. View More»
  

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