- •The use of direct-acting oral anticoagulants (DOAC) is rising rapidly across the country for the primary and secondary prevention of thromboembolic diseases.
- •Patients with Blunt abdominal solid organ injury (ASOI) on preinjury chronic anticoagulation could have increased risk of failure of nonoperative management (NOM) due to hemorrhage or other major complications.
- •Blunt ASOI patients on preinjury anticoagulation have higher rates of failure of NOM, cardiac arrest, AKI, MI, and mortality compared to patients without prior anticoagulation.
- •Further prospective studies are required to help develop proper management protocols among this subset of trauma patients.
Level of evidence
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