Publication: Direct oral anticoagulants and travel-related venous thromboembolism
Issued Date
2018-01-01
Resource Type
ISSN
23915463
Other identifier(s)
2-s2.0-85058841080
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Open Medicine (Poland). Vol.13, No.1 (2018), 575-582
Suggested Citation
Supat Chamnanchanunt, Ponlapat Rojnuckarin Direct oral anticoagulants and travel-related venous thromboembolism. Open Medicine (Poland). Vol.13, No.1 (2018), 575-582. doi:10.1515/med-2018-0085 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/47047
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Direct oral anticoagulants and travel-related venous thromboembolism
Author(s)
Other Contributor(s)
Abstract
© 2018 Supat Chamnanchanunt, Ponlapat Rojnuckarin. Travel-related thromboembolism reflects the relationship between venous thromboembolism (VTE) and long-haul flights. Although this condition is rare, it may cause significant morbidity and mortality. Therefore, travelers should be evaluated for the risks for thrombosis. Travel physicians should employ a clinical risk score and select in vestigations, prophylaxis, and treatment that are appropriate for each individual. This review summarizes current VTE clinical risk scores and patient management from various reliable guidelines. We summarized 16 reliable publications for reviewing data. Direct oral anticoagulants (DOACs) are currently the standard treatment for VTE and a prophylactic measure for VTE in orthopedic surgery. Compared with a vitamin K antagonist (VKA), DOACs show better safety and similar efficacy without the need for monitoring, and have fewer food/drug interactions. Inferred from the data on general VTE, DOACs may be used to treat travel-related VTE. Although the data are lacking, DOACs may be used off-label as VTE prophylax is. Before using DOACs, physicians must know the pharmacology of the drugs well and should realize that the availability of antidotes for bleeding complications is limited.