#2905 CLINICAL OUTCOMES OF ORAL ANTICOAGULATION AND NO ANTICOAGULATION AMONG HEMODIALYSIS PATIENTS WITH ATRIAL FIBRILLATION

نویسندگان

چکیده

Abstract Background and Aims The delicate balance of risk versus benefit oral anticoagulation in the general population is well established but decision to use these agents end-stage renal disease (ESRD) remains complex difficult owing paucity clinical trials lack substantial evidence literature for its safe effective haemodialysis population. This study aims determine difference outcomes between no therapy among ESRD patients on maintenance with atrial fibrillation. Method a prospective, single-center, observational conducted Perpetual Succour Hospital that included all at least 3 months Out 188 identified patients, only 69 were grouped according how cardiac dysrhythmia was approached either or anticoagulation. Basic demographic information obtained as aetiology ESRD, CHA2DS2-VASc Score HAS-BLED Score. Lastly, prospectively followed period 12 then assessed new onset thromboembolic events, hemorrhagic calciphylaxis all-cause mortality. Results At enrolment, 59 (85.5%) have 10 (14.5%) already receiving Ischemic strokes more prevalent who anticoagulant (80%, p <0.0001). Patient differ significantly terms intracranial hemorrhage (30%, p= 0.0004) gastrointestinal bleeding (50%, <0.00001) which noted In relation over-all mortality, acute myocardial infarction, peripheral arterial occlusive calciphylaxis, there significant two groups. Conclusion suggests did not prevent ischemic fibrillation associated increased haemorrhage bleeding. There

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ژورنال

عنوان ژورنال: Nephrology Dialysis Transplantation

سال: 2023

ISSN: ['1460-2385', '0931-0509']

DOI: https://doi.org/10.1093/ndt/gfad063d_2905