Frequency of Direct Oral Anticoagulants Usage in Acute Pulmonary Thromboembolism Treatment in Turkey (TUPEDO).

Abstract

Background:

Direct oral anticoagulants (DOACs) have been used in acute pulmonary thromboembolism as an alternative to warfarin due to drug interactions, narrow therapeutic range, and necessary close International Normalized Ratio (INR) monitoring. Phase 3 study results have reported that these drugs are at least as effective as warfarin and beneficial in terms of bleeding; however, studies that present up-to-date life data are necessary.

Aims:

To evaluate the frequency of using DOACs, which are prescribed with a limited number of indications in our country, and real-life data results.

Study Design:

Cross-sectional study.

Methods:

This cross-sectional survey collected the clinical data (history, current treatment, treatment duration, etc.) of patients with pulmonary thromboembolism and who applied to the physician for follow-up between October 15, 2019, and March 15, 2020. The researchers kept the patient records sequentially.

Results:

Data from 836 patients with acute pulmonary thromboembolism from 25 centers were collected, and DOAC was used in 320 (38.5%) of them. The most preferred DOAC was rivaroxaban (n = 294, 91.9%). DOAC was mostly preferred because it could not provide an effective INR level with warfarin (n=133, 41.6%). Bleeding was observed in 13 (4%) patients.

Conclusion:

The use of direct oral anticoagulants is becoming almost as widespread as conventional therapy. Real-life data results are important for their contribution to clinical practice.

• Authors: Elif Tanrıverdi, Nuri Tutar, Ayşegül Şentürk, Ayşe Bahadır, Nimet Aksel, Nur Aleyna Yetkin, Gülistan Karadeniz, Nazlı Çetin, Ali Tabaru, Binnaz Zeynep Yıldırım, Hatice Selimoğlu Şen, Neslihan Özçelik, Emine Özsarı, Fatih Uzer, Tuğba Çiçek, Dorina Esendağlı, İclal Hocanlı, Nagihan Durmuş Koçak, Utku Tapan, Bahar Kurt, Sibel Arınç, Murat Kavas, Füsun Şahin, Dilek Ergun, Elif Yılmazel Uçar, Talat Kılıç, İnci Gülmez, Jülide Celdir Emre, Deniz Doğan, Fatma Özdemir, Mustafa Düger, Suha Alzafer, Esra Yarar, Damla Serce Unat, Bilge Salık
• Journal: Balkan medical journal (Balkan Med J) Vol. 39 Issue 2 Pg. 148-152 (03 14 2022) ISSN: 2146-3131 [Electronic] Turkey
• PMID: 35330566 (Publication Type: Journal Article)

Chemical References

• Anticoagulants
• Pyrazoles
• Warfarin

Topics

• Acute Disease
• Administration, Oral
• Anticoagulants (administration & dosage, adverse effects)
• Cross-Sectional Studies
• Hemorrhage (chemically induced, epidemiology)
• Humans
• Pulmonary Embolism (drug therapy)
• Pyrazoles (therapeutic use)
• Retrospective Studies
• Turkey
• Warfarin (administration & dosage, adverse effects)