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Perioperative management of patients on direct oral anticoagulants

Overview of attention for article published in Thrombosis Journal, May 2017
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#21 of 277)
  • High Attention Score compared to outputs of the same age (85th percentile)


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Readers on

114 Mendeley
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Perioperative management of patients on direct oral anticoagulants
Published in
Thrombosis Journal, May 2017
DOI 10.1186/s12959-017-0137-1
Pubmed ID

Virginie Dubois, Anne-Sophie Dincq, Jonathan Douxfils, Brigitte Ickx, Charles-Marc Samama, Jean-Michel Dogné, Maximilien Gourdin, Bernard Chatelain, François Mullier, Sarah Lessire


Direct oral anticoagulants (DOACs) have been licensed worldwide for several years for various indications. Each year, 10-15% of patients on oral anticoagulants will undergo an invasive procedure and expert groups have issued several guidelines on perioperative management in such situations. The perioperative guidelines have undergone numerous updates as clinical experience of emergency management has increased and perioperative studies including measurement of residual anticoagulant levels have been published. The high inter-patient variability of DOAC plasma levels has challenged the traditional recommendation that perioperative DOAC interruption should be based only on the elimination half-life of DOACs, especially before invasive procedures carrying a high risk of bleeding. Furthermore, recent publications have highlighted the potential danger of heparin bridging use when DOACs are stopped before an invasive procedure. As antidotes are progressively becoming available to manage severe bleeding or urgent procedures in patients on DOACs, accurate laboratory tests have become the standard to guide their administration and their actions need to be well understood by clinicians. This review aims to provide a systematic approach to managing patients on DOACs, based on recent updates of various perioperative guidance, and highlighting the advantages and limits of recommendations based on pharmacokinetic properties and laboratory tests.

Twitter Demographics

The data shown below were collected from the profiles of 14 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 114 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Belgium 1 <1%
Unknown 113 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 20 18%
Other 17 15%
Student > Postgraduate 12 11%
Student > Bachelor 10 9%
Student > Master 7 6%
Other 22 19%
Unknown 26 23%
Readers by discipline Count As %
Medicine and Dentistry 57 50%
Pharmacology, Toxicology and Pharmaceutical Science 10 9%
Nursing and Health Professions 4 4%
Agricultural and Biological Sciences 3 3%
Biochemistry, Genetics and Molecular Biology 1 <1%
Other 3 3%
Unknown 36 32%

Attention Score in Context

This research output has an Altmetric Attention Score of 14. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 May 2022.
All research outputs
of 21,340,902 outputs
Outputs from Thrombosis Journal
of 277 outputs
Outputs of similar age
of 284,310 outputs
Outputs of similar age from Thrombosis Journal
of 1 outputs
Altmetric has tracked 21,340,902 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 90th percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 277 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.2. This one has done particularly well, scoring higher than 92% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 284,310 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 85% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them