Enquête sur la prise en charge des patients sous antithrombotiques en chirurgie orale en France

Abstract : Cardiovascular disease is the main cause of morbidity and mortality in France. Antithrombotic therapy is essential for treatment and/or prevention of thromboembolic events. These drugs are associated with an increased bleeding risk that dentists need to consider. The management of these patients in oral surgery requires precautions specific to each type of antithrombotic and depends of the haemorragic risk associated. The French Society of Oral Surgery wrote practice guidelines in 2015 about perioperative management of patients treated with antithrombotics in oral surgery. A national survey was conducted in 2018, to describe the knowledge, attitudes and practices of dentists about the perioperative management of patients under antithrombotic conditions in oral surgery in France. According to the results of this study, almost a third of the respondents were not aware of the current practice guidelines, only 47% of practitioners aware of the recommendations correctly prescribed the right biological tests before performing a surgical procedure and, less than 25% of respondents performed all the preventive hemostasis measures for bleeding complications. It seams necessary to continue to spread the guidelines in order to improve the perioperative management of patients on antithrombotic agents and decrease health expenses.
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Marion Touny. Enquête sur la prise en charge des patients sous antithrombotiques en chirurgie orale en France. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02000712⟩

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