title: Prescribing patterns of target-specific oral anticoagulants: an academic hospital perspective.
abstract: Target-specific oral anticoagulants have been rapidly adopted into clinical practice for stroke prophylaxis and venous thromboembolism treatment, raising concerns about off-label prescribing practices. We conducted a retrospective review of consecutive patients prescribed dabigatran, rivaroxaban or apixaban prior to inpatient hospitalization over an 18-month period to examine the off-label prescribing frequency, contraindications and related complications. Chart review included baseline demographics, hospital admitting service, outpatient prescribing service, renal function, therapeutic indication, echocardiographic findings, contraindications, major bleeding events and vital status. We identified 160 patients who received a target-specific oral anticoagulant prior to hospitalization. Over half (53.1%) of the patients received rivaroxaban, 43.7% received dabigatran and 3.1% received apixaban. Atrial fibrillation (68.1%) and venous thromboembolism treatment (25.6%) were the most common indications. Ninety percent of patients had a U.S. Foods and Drugs Administration (FDA)-approved indication for therapy. Major bleeding events occurred in 4.4% of patients. Cardiology was the most common prescribing and admitting service (43.8 and 31.3%), and more frequently adhered to FDA-approved indications (97 vs. 84%, P = 0.01). There were no significant differences between prescribing services regarding major contraindications (P = 0.14) and major bleeding events (P = 0.77). Off-label prescription rates for target-specific oral anticoagulants were infrequent and not associated with increased adverse events.
authors.affiliation: aDepartment of Internal Medicine, University of Utah School of Medicine bGeorge E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City cDivision of Pulmonary and Critical Care Medicine, University of Utah and Intermountain Medical Center, Murray, Utah, USA.
authors.forename: Stacy A
authors.initials: SA
authors.lastname: Johnson
authors.forename: Peter M
authors.initials: PM
authors.lastname: Yarbrough
authors.forename: Richard S
authors.initials: RS
authors.lastname: Rose
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Lanspa
mesh_terms: D000284:Administration, Oral; D000368:Aged; D000925:Anticoagulants / Q000494:pharmacology / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
chemical_list: D000925:Anticoagulants