Resuming warfarin after GI bleed

By  |  September 20, 2012 | 

This large cohort of patients on warfarin who experienced a GI bleed found 59% resumed warfarin within 90 days. Those that resumed were significantly less likely to experience thrombosis (hazard ratio 0.05, CI 0.01-0.58) or death (hazard ratio 0.31, CI 0.15-0.62), and did not have a higher risk of bleeding, compared to those that did not resume warfarin within 90 days. This study suggests that early re-initiation of warfarin after a GI bleed results in better clinical outcomes that waiting for 90 days or later (abstract)

Leave A Comment

About the Author:

Danielle Scheurer
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

Categories

Related Posts

By  | June 29, 2013 |  0
This large systematic review found rectal NSAIDs significantly reduced the risk of post-ERCP pancreatitis compared to pancreatic duct stents (abstract).
By  | June 22, 2013 |  0
This large population-based cohort found the most common causes of drug induced liver injury to be augmentin and diclofenac, followed by herbal and nutritional supplements (abstract).
By  | May 25, 2013 |  0
This large trial of patients with a relative contraindication for enteral feeds were randomized to early TPN or usual care. There were no differences in the groups in 60 day mortality or LOS, but those on TPN did have a shorter time ventilated and less muscle/fat loss. It is unclear based on this trial if […]