A Delphi consensus on the management of anticoagulation in the COVID-19 pandemic : the MONACO study
Escobar, Carlos (Hospital Universitario La Paz (Madrid))
Freire, R.B. (Hospital Clínico San Carlos (Madrid))
Garcia-Moll, Xavier (Institut d'Investigació Biomèdica Sant Pau)
González-Juanatey, C. (Hospital Universitario Lucus Augusti (Lugo))
Morillas, M. (Hospital de Galdakao (Usansolo, Biscaia))
Muñoz, A.V. (Hospital Marina Salud)
Doblas, J.J.G. (Hospital Universitario Virgen de la Victoria (Màlaga, Andalusia))
Universitat Autònoma de Barcelona

Data:	2023
Resum:	During the COVID-19 pandemic, guideline documents on the management of anticoagulation were rapidly published. However, these documents did not follow a structured methodology, and significant differences existed between the guidelines. The aim of this expert consensus was to provide recommendations on the clinical management of oral anticoagulation in patients in the context of the COVID-19 pandemic. A two-round Delphi study was conducted using an online survey. In the first round, panellists expressed their level of agreement with the items on a 9-point Likert scale. Items were selected if they received approval from ≥66. 6% of panellists and if they were agreed by the scientific committee. In the second round, panellists revaluated those items that did not meet consensus in the first round. A total of 147 panellists completed the first round, and 144 of them completed the second round. Consensus was reached on 161 items included in five dimensions. These dimensions addressed: (I) management of anticoagulation in patients with atrial fibrillation (AF) without mechanical valves or moderate/severe mitral stenosis during COVID-19 infection; (II) thromboprophylaxis in patients hospitalised for COVID-19; (III) management of anticoagulation at hospital discharge/after COVID-19; (IV) anticoagulation monitoring in the COVID-19 pandemic setting; and (V) role of telemedicine in the management and follow-up of patients with AF in the COVID-19 pandemic setting. These areas of collective agreement could specially guide clinicians in making decisions regarding anticoagulation in patients with COVID-19 during hospitalisation and at discharge, where results from clinical trials are still limited and, in some cases, conflicting.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Atrial fibrillation (AF) ; COVID-19 ; Delphi consensus ; Oral anticoagulation
Publicat a:	Cardiovascular Diagnosis and Therapy, Vol. 13 Núm. 5 (october 2023) , p. 777-791, ISSN 2223-3660

DOI: 10.21037/cdt-23-76
PMID: 37941839

15 p, 238.7 KB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
Articles > Articles de recerca
Articles > Articles publicats