Anticoagulation for patients with mechanical heart valves at the end of life: understanding clinician attitudes and improving decision making.
Jonathan RabyVictoria BradleyNikant SabharwalPublished in: BMC palliative care (2021)
The healthcare professionals we surveyed felt poorly informed and ill-equipped to make decisions regarding anticoagulation for patients with mechanical heart valves at the end of life. They were objectively poor at estimating the risks involved. In the absence of robust data to support protocolisation of practice, we believe these decisions must be taken in conversation with the patient, taking account of individual circumstances and priorities. We have developed guidance for local use to support such individualised decision-making.
Keyphrases
- decision making
- atrial fibrillation
- aortic valve
- venous thromboembolism
- heart failure
- aortic valve replacement
- primary care
- physical activity
- healthcare
- case report
- electronic health record
- human health
- mental health
- transcatheter aortic valve replacement
- quality improvement
- risk assessment
- deep learning
- data analysis
- climate change