Perioperative Anticoagulation Management in Spine Surgery: Initial Findings From the AO Spine Anticoagulation Global Survey.
Publication/Presentation Date
8-1-2020
Abstract
STUDY DESIGN: Cross-sectional, international survey.
OBJECTIVES: This study addressed the global perspectives concerning perioperative use of pharmacologic thromboprophylaxis during spine surgery along with its risks and benefits.
METHODS: A questionnaire was designed and implemented by expert members in the AO Spine community. The survey was distributed to AO Spine's spine surgeon members (N = 3805). Data included surgeon demographic information, type and region of practice, anticoagulation principles, different patient scenarios, and comorbidities.
RESULTS: A total of 316 (8.3% response rate) spine surgeons completed the survey, representing 64 different countries. Completed surveys were primarily from Europe (31.7%), South/Latin America (19.9%), and Asia (18.4%). Surgeons tended to be 35 to 44 years old (42.1%), fellowship-trained (74.7%), and orthopedic surgeons (65.5%) from academic institutions (39.6%). Most surgeons (70.3%) used routine anticoagulation risk stratification, irrespective of geographic location. However, significant differences were seen between continents with anticoagulation initiation and cessation methodology. Specifically, the length of a procedure (
CONCLUSION: This survey highlights the heterogeneity of spine care and accentuates geographical variations. Furthermore, it identifies the difficulty in providing consistent perioperative anticoagulation recommendations to patients, as there remains no widely accepted, definitive literature of evidence or guidelines.
Volume
10
Issue
5
First Page
512
Last Page
527
ISSN
2192-5682
Published In/Presented At
Louie, P., Harada, G., Harrop, J., Mroz, T., Al-Saleh, K., Brodano, G. B., Chapman, J., Fehlings, M., Hu, S., Kawaguchi, Y., Mayer, M., Menon, V., Park, J. B., Qureshi, S., Rajasekaran, S., Valacco, M., Vialle, L., Wang, J. C., Wiechert, K., Riew, K. D., … Samartzis, D. (2020). Perioperative Anticoagulation Management in Spine Surgery: Initial Findings From the AO Spine Anticoagulation Global Survey. Global spine journal, 10(5), 512–527. https://doi.org/10.1177/2192568219897598
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
32677576
Department(s)
Administration and Leadership
Document Type
Article