Published
Thanks for all your answers. I was just curious cause I'm gonna be on a committee about that. We use mostly coumadin but have a few docs that use lovenox. I guess that may change in the future too as the hospital is going to switch from lovenox to arixtra (which I know nothing about yet).
i work with a national caseload, so i have a bit of a different perspective. here's my two cents:
most thas are sent home on asa
most tkas are sent home on either lovenox or coumadin (about 50/50)
the above is true...except for the state of fl. seems like all the joints there are sent home on coumadin (broad generalization...i know....but i notice more thas from fl on coumadin than any other state....just an interesting observation)
working from a case management perspective, the concern i would have (and please understand my inpatient experience is....a bit..."rusty"...) is that a standard anticoagulation protocol does not take into account for variations in benefits. i am going to hold on elaborating on this because the details will likely bore you to tears....but i know the joints we see are getting younger and younger, so its no longer true that you only have to worry about medicare.
likely not quite what you are looking for....but i'm wondering if your discharge planners are involved in this comittee?
natkat2816
15 Posts
Just wanting to know what everyones opinion was between coumadin vs. lovenox for ortho patients after total joint replacement?? What are your docs using?? Do they have a preference?? Why? Any side effects noted??