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Idarucizumab for dabigatran reversal: the first 6 months in a tertiary centre
Author(s) -
Wheeler Matthew,
Borrie Andrew,
Dookia Rishi,
Carter John
Publication year - 2019
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.14459
Subject(s) - idarucizumab , medicine , dabigatran , audit , retrospective cohort study , surgery , intensive care medicine , warfarin , management , economics , atrial fibrillation
This retrospective audit reviews patients on dabigatran presenting with bleeding or requiring urgent surgery in the Wellington region, whether they received idarucizumab appropriately and the outcome of episodes. Eighty patients were identified with bleeding or need for urgent surgery, 14 of which received idarucizumab. In patients who received idarucizumab, use was safe, effective and overall appropriate. Idarucizumab was underutilised with patients who could have benefited not receiving it; however, some patients who were treated may not have required it. Increased awareness and use may improve outcomes.