Journal of Thrombosis and Thrombolysis

, Volume 49, Issue 1, pp 136–137 | Cite as

Underuse of anticoagulant therapy in hospitalized older patients: comment on the article of Wojszel et al.

  • Antonella MameliEmail author
  • Paola Schirru
  • Mariagrazia Porru
  • Francesco Marongiu
  • Doris Barcellona
Letter to the Editor

To the Editor,

We read with great interest the recent paper by Wojszel et al. published recently in Journal of Thrombosis and Thrombolysis [1]. In the article, the authors suggested that Oral anticoagulant (OACs) are often underused in elderly patients with atrial fibrillation (AF) because frailty status and anemia diagnosis. We have showed similar results in our patients and we would like to make some comments. We performed an analysis in 250 consecutive geriatric patients (123 males and 127 females; median age 78.9 years) with AF admitted to an acute internal Unit of an hospital in Cagliari, coming from the Emergency Department to evaluate trends in OACs use in real world. We examine the possibility of prescribing the direct oral anticoagulants (DOACs) and their actual prescription at discharge. Our data showed that at admission the patients with anticoagulant therapy (ACs) were 158 (9 with Heparin, 44 with DOACs, 105 with Vitamin K antagonist (AVK)). At discharge the number of...


Compliance with ethical standards

Conflict of interest

The authors have no financial or other conflicts of interest


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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Haemostasis and Thrombosis Unit, AOU “Duilio Casula”University of CagliariCagliariItaly
  2. 2.Internal Medicine and Haemocoagulopathies Unit, AOU “Duilio Casula”University of CagliariCagliariItaly
  3. 3.Azienda Ospedaliero UniversitariaMonserratoItaly

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