TY - CHAP M1 - Book, Section TI - The Arrhythmias A1 - Sanoski, Cynthia A. A1 - Bauman, Jerry L. A2 - DiPiro, Joseph T. A2 - Talbert, Robert L. A2 - Yee, Gary C. A2 - Matzke, Gary R. A2 - Wells, Barbara G. A2 - Posey, L. Michael PY - 2017 T2 - Pharmacotherapy: A Pathophysiologic Approach, 10e AB - Content UpdateMay 16, 2018Anticoagulation in Older Patients with Atrial Fibrillation and Chronic Kidney Disease: A retrospective propensity-matched cohort study in the UK evaluated the safety and effectiveness of anticoagulation for thromboprophylaxis in older patients with chronic kidney disease (CKD) after being diagnosed with atrial fibrillation (AF). Compared to matched controls, patients receiving anticoagulation were more likely to experience ischemic stroke and cerebral or GI hemorrhage but had lower all-cause mortality. Although anticoagulants may improve all-cause mortality in these patients, additional trials are needed to determine the effect of anticoagulation on stroke risk. Anticoagulant use should be based on assessment of individual bleeding and thromboembolic risks and benefits, along with consideration of patient preferences. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1153483491 ER -