Perioperative management of anticoagulated patients having cataract surgery: National audit of current practice of members of the Royal College of Ophthalmologists.
An 11-item questionnaire was mailed to 891 consultant members of the Royal College of Ophthalmologists (RCOphth) to audit compliance with RCOphth guidelines for perioperative management of anticoagulated patients having cataract surgery. Four hundred ninety-nine questionnaires were analyzed. The results showed that 29.5% of respondents adhered to all aspects of RCOphth guidelines; that is, they checked the international normalized ratio (INR) preoperatively, continued warfarin, operated within the desired therapeutic INR range for the condition that warfarin was being used to treat (as set by the treating physician), and considered sub-Tenon or topical anesthesia in anticoagulated patients.
Department of Ophthalmology, University Hospital Aintree, Liverpool, United Kingdom. RuchikaBatra@aol.com
Ruchika
R
Batra
Anna
A
Maino
Sun W
SW
Ch'ng
Ian B
IB
Marsh
D000925:Anticoagulants / Q000627:therapeutic use*; D002387:Cataract Extraction; D005130:Eye Hemorrhage / Q000517:prevention & control; D019983:Guideline Adherence / Q000592:standards*; D019538:Health Care Surveys; D006801:Humans; D019934:International Normalized Ratio; D008485:Medical Audit; D009885:Ophthalmology / Q000592:standards*; D019990:Perioperative Care; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012955:Societies, Medical / Q000592:standards; D011795:Surveys and Questionnaires; D006113:United Kingdom; D014859:Warfarin / Q000627:therapeutic use*
D000925:Anticoagulants; D014859:Warfarin