About this trial
The purpose of this pragmatic interventional study is to evaluate whether a protocol-based management of antithrombotic drugs can reduce a composite of perioperative outcomes in patients with chronic antithrombotic therapy before surgery.
Eligibility criteria
Qualifiers
1. Patients with continuing antithrombotic therapy (including antiplatelet and/or anticoagulant therapies) for cardiovascular and cerebrovascular diseases for more than 2 weeks.
2. Patients who have one or more of the following situations: (1) non-valvular atrial fibrillation with a CHA2DS2-VASc score >4; (2) post-artificial valve replacement (including mitral valve, ball-cage valve or tilting disc aortic valve); (3) venous thromboembolism occurred within 1 year, or venous thromboembolism with other high-risk factors which require long-term anticoagulation treatment; (4) coronary heart disease with coronary stent implantation, thrombolytic therapy or other coronary procedures within 2 years, or who had undergone coronary artery bypass grafting within 1 year, or who experienced myocardial infarction or acute coronary syndrome within 1 year; (5) a history of stroke/transient ischemic accident within 1 year, or a history of cervical or intracranial revascularization treatment within 1 year; (6) peripheral arterial disease.
3. Patients who are scheduled to undergo intra-abdominal surgery (including general and urologic surgery).
4. Patients who sign written informed consents.
Disqualifiers
1. Refuse to participate.
2. Emergency surgery.
3. Unable to complete the preoperative assessment and follow-up plan.
4. Other reasons that are considered unsuitable for study participation by the investigators or the attending doctors.
Trial design
Treatments tested in this trial
- Protocol-based management of perioperative antithrombotic therapy
- Routine management of perioperative antithrombotic therapy