129 Risk Mitigation of Gastrointestinal Bleeding in Patients Co-Prescribed Antiplatelets with Oral Anticoagulants: VISN 8 Anticoagulation Stewardship Proton Pump Inhibitor Initiative
Introduction: Concomitant antiplatelet (APT) therapy in patients receiving oral anticoagulation (OAC) is a common and modifiable risk factor for major bleeding. Within Veterans Health Administration (VHA) Veterans Integrated Service Network (VISN) 8 an ongoing anticoagulation stewardship initiative has focused on ensuring combination therapy is utilized only in appropriate settings. While combination therapy in VISN 8 has decreased by about 35% with this initiative nearly 1 out of 6 patients continue combined therapy.
Authors
- Jaclyn Stoppi
- Jennifer Crowley (ORCID: https://orcid.org/0000-0003-1519-4429)
- Joseph J. Fierro
- David Parra (ORCID: https://orcid.org/0000-0002-7253-4381)
- Jeffery L. Kibert (ORCID: https://orcid.org/0000-0002-0711-9990)
- Emily Wilson (ORCID: https://orcid.org/0000-0002-7034-4875)
- Robert D. Stewart
- Laura K. Vinieratos
- Natalie R. Ciccone
- Litzalee Camacho-Vega
- Joseph Capriola
- Alida Marrero-Hernandez
- Maria J. Irias
Institutions
- University of Minnesota (US)
- Orlando Health (US)
- Bay Pines VA Healthcare System (US)
- North Florida/South Georgia Veterans Health System (US)
- West Palm Beach VA Medical Center (US)
- Orlando VA Medical Center (US)
- VA Caribbean Healthcare System (PR)
- Miami VA Healthcare System (US)
- Tampa Bay Research Institute (US)
Publication Details
- Journal
- Research and Practice in Thrombosis and Haemostasis
- Published
- 2025-05-01
- DOI
- https://doi.org/10.1016/j.rpth.2025.102752
- Primary Topic
- Antiplatelet Therapy and Cardiovascular Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00