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Document embargat fins el 2026-09-10

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2025-09-11

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cc-by-nc-nd (c) Sociedad Española de Anestesiología, 2025
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/224056

Documento de consenso para la solicitud de pruebas de coagulación preoperatorias

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Recurs relacionat

https://doi.org/10.1016/j.redare.2025.501931

Resum

Introduction: Standard pre-operative coagulation tests are insensitive to certain haemostatic abnormalities, yet they continue to be ordered routinely. Given the lack of clear guidance in Spain, we used Delphi methodology to develop a series of consensus recommendations on ordering these tests. Material and methods: We conducted a 3-round, online, multicentre Delphi study in which 10 expert anaesthesiologists were asked to recruit colleagues to form a panel of 59 anaesthesiologists, 50 of which completed all rounds. The panel rated 46 statements on a 1-9 Likert scale. Consensus was achieved when ≥70% of questions scored ≥7 in the third round. Accepted statements were classified as Weak (70%-79%), Moderate (80%-89%) or Strong (90%-100%) agreement. Results: Twenty-nine statements were accepted. These were synthesized into 21 statements that were grouped into 6 categories: general indication, patient risk factors, procedure characteristics, global assessment, paediatric patients, and special cases. Agreement was strong for 14 statements, moderate for 5, and weak for 2. Key recommendations were: (1) avoid universal testing; (2) base testing on medical history, standard bleeding-risk questionnaires, and specific risk factors (anticoagulation, liver disease, kidney failure, haematopoietic disorders); (3) order tests before high-complexity or high-bleeding-risk procedures; and (4) use specific tests in patients receiving direct oral anticoagulants. Conclusions: Pre-operative coagulation testing is indicated in patients that present bleeding disorders and/or are scheduled for a high-bleeding-risk procedure.

Matèries

Anestesiologia, Coagulació sanguínia, Cura preoperatòria

Matèries (anglès)

Anesthesiology, Blood coagulation, Preoperative care

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Articles publicats en revistes (Ciències Clíniques)

Citació

JOVER PINILLOS, Jose luis, FERRANDIS COMES, Raquel, LLAU PITARCH, Juan vicente, ZAMUDIO PENKO, Diana r., BASORA MACAYA, Misericordia, COLOMINA SOLER, M. j. (maría josé), ABAD GURUMETA, Alfredo, GARCÍA FERNÁNDEZ, Javier. Documento de consenso para la solicitud de pruebas de coagulación preoperatorias. _Revista Española de Anestesiología y Reanimación_. 2025. Vol. 72, núm. 9. [consulta: 22 de gener de 2026]. ISSN: 0034-9356. [Disponible a: https://hdl.handle.net/2445/224056]

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