title: Physician Preferences for Botulinum Toxin Injections in Anticoagulated Patients with Spasticity.
abstract: To understand physician preferences and bleeding complication rates of intramuscular botulinum neurotoxin type A injections for spasticity management in anticoagulated patients, questionnaires were mailed to 138 physicians across Canada. The international normalized ratio comfort range for injections was <2.0 in 10%, 2.0 to 2.5 in 35%, 2.6 to 3.0 in 25%, and 3.1 to 3.5 in 20% of physicians. Only 23% injected outside their comfort value and 57% did not; 72% did not normalize the international normalized ratio value before injections. Only one injector reported the development of compartment syndrome. As expected, high variability exists in physician preferences in botulinum neurotoxin type A injection in anticoagulated patients.
authors.affiliation: 1Spasticity Research Program,West Park Healthcare Centre,Toronto, ON,Canada.
authors.forename: Adam
authors.initials: A
authors.lastname: Kassam
authors.affiliation: 1Spasticity Research Program,West Park Healthcare Centre,Toronto, ON,Canada.
authors.forename: Chetan P
authors.identifier: http://orcid.org/0000-0003-0957-7941
authors.initials: CP
authors.lastname: Phadke
authors.affiliation: 1Spasticity Research Program,West Park Healthcare Centre,Toronto, ON,Canada.
authors.forename: Farooq
authors.initials: F
authors.lastname: Ismail
authors.affiliation: 1Spasticity Research Program,West Park Healthcare Centre,Toronto, ON,Canada.
authors.forename: Chris
authors.initials: C
authors.lastname: Boulias
mesh_terms: D065087:Acetylcholine Release Inhibitors / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D001905:Botulinum Toxins / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000188:drug therapy*; D010820:Physicians / Q000523:psychology*; D011446:Prospective Studies; D011795:Surveys and Questionnaires
chemical_list: D065087:Acetylcholine Release Inhibitors; D001905:Botulinum Toxins
keywords: anticoagulants; botulinum toxin; compartment syndromes; health surveys; hemorrhage; physicians; stroke