title: [Changes in the clinical profile of patients treated with oral anticoagulants in the 1990's].
abstract: BACKGROUND
  During the last few years the efficacy of oral anticoagulant treatment in the prevention of thromboembolic complications among patients with cardiac diseases has been well established. This has determined an increase in the number of patients undergoing this therapy and a change in the clinical profile of these patients.
  
  
  OBJECTIVE
  To determine the number and the changes in the clinical characteristics of patients treated with oral anticoagulants during the last decade.
  
  
  METHODS
  The charts of 5,771 hospitalized patients between January 1, 1991 and December 31, 1999, were retrospectively reviewed. We analyzed the number of patients discharged with anticoagulant treatment, the clinical profile and the evolution during the decade.
  
  
  RESULTS
  761 (13.1%) patients were discharged with anticoagulants. The therapy was prescribed to 7.4% of the patients from 1991-1993 and to 15.1% of the patients from 1998-1999. The mean age of the patients was 60.4 from 1991-1993 and 67.1 from 1998-1999 (p < 0.001). At the beginning of the decade, 90% of the patients had prosthetic valves, suffered from rheumatic heart disease or had had thromboembolic phenomena previously. At the end of the decade, only 49% could be included in these groups.
  
  
  CONCLUSIONS
  a) The use of oral anticoagulants among our hospitalized patients has been duplicated during the past ten years; b) the clinical profile has changed, patients are now older and with different morbidity; c) the rheumatic heart disease and the prosthetic valves are no longer the predominant indications, and d) the use of therapy as secondary prevention has decreased significantly.
authors.affiliation: Unidad de Cardiología, Hospital Ciudad de Jaén, Jaén.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Vázquez Ruiz De Castroviejo
authors.forename: María José
authors.initials: MJ
authors.lastname: Martín Barranco
authors.forename: Antonio
authors.initials: A
authors.lastname: Martín Rubio
authors.forename: Antonio
authors.initials: A
authors.lastname: Fajardo Pineda
authors.forename: Cristóbal
authors.initials: C
authors.lastname: Lozano Cabezas
authors.forename: Manuel
authors.initials: M
authors.lastname: Guzmán Herrera
authors.forename: Ada
authors.initials: A
authors.lastname: Tarabini Castellani
authors.forename: Carlos
authors.initials: C
authors.lastname: Pagola Vilardebó
authors.forename: Eufrasio
authors.initials: E
authors.lastname: Martínez Galiano
authors.forename: Antonio
authors.initials: A
authors.lastname: Alcalá Muñoz
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use*; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013923:Thromboembolism / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants
vernacular_title: Cambios en el perfil clínico de los pacientes anticoagulados durante la década de los noventa.