title: Resuming anticoagulation after hemorrhage: A practical approach.
abstract: Most patients who suffer a hemorrhage while on long-term anticoagulant therapy continue to be at risk of thrombosis. Physicians often need to reconsider the need for anticoagulation in view of the risk of recurrent bleeding, and when anticoagulation needs to be resumed, they must also consider the timing and strategy. Since there are no evidence-based guidelines for these situations, the authors of this paper offer a practical framework for individualizing the resumption of anticoagulation after hemorrhage.
authors.affiliation: Hospitalist Program, Department of Medicine, Johns Hopkins University, Baltimore, MD, USA. E-mail: acolant2@jhmi.edu.
authors.forename: Alison
authors.initials: A
authors.lastname: Colantino
authors.affiliation: Department of Internal Medicine, Rush Medical College, Chicago, IL, USA.
authors.forename: Amir K
authors.initials: AK
authors.lastname: Jaffer
authors.affiliation: Department of Medicine, Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Brotman
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use*; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced / Q000453:epidemiology*; D014943:Global Health; D006801:Humans; D015994:Incidence; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D013923:Thromboembolism / Q000517:prevention & control*; D028761:Withholding Treatment
chemical_list: D000925:Anticoagulants