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Antiplatelet therapy in patients undergoing oral surgery : a systematic review and meta-analysis

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Antiplatelet therapy in patients undergoing oral surgery : a systematic review and meta-analysis

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dc.contributor.author Villanueva, Julio es
dc.contributor.author Salazar, Josefina es
dc.contributor.author Alarcón, Ana es
dc.contributor.author Araya, Ignacio es
dc.contributor.author Yanine, Nicolás es
dc.contributor.author Domancic, Stefan es
dc.contributor.author Carrasco-Labra, Alonso es
dc.date.accessioned 2019-03-07T13:18:59Z
dc.date.available 2019-03-07T13:18:59Z
dc.date.issued 2019 es
dc.identifier.citation Villanueva, Julio ; Salazar, Josefina ; Alarcón, Ana ; Araya, Ignacio ; Yanine, Nicolás ; Domancic, Stefan ; Carrasco-Labra, Alonso. Antiplatelet therapy in patients undergoing oral surgery : a systematic review and meta-analysis. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 24 1 2019: 15- es
dc.identifier.uri http://hdl.handle.net/10550/69460
dc.description.abstract The number of patients under antiplatelet therapy (APT) continues to raise as current recommendations foster this practice. Although some recommendations to manage this treatment during oral surgery procedures exist, these have methodological shortcomings that preclude them from being conclusive. A systematic review and meta-analysis of the best current evidence was carried out; The Cochrane Library, EMBASE and MEDLINE databases were searched for Randomized Controlled Trials (RCT) concerning patients undergoing oral surgery with APT, other relevant sources were searched manually. 5 RCTs met the Inclusion criteria. No clear tendency was observed (RR= 0.97 CI 95%: 0,41?2,34; p=0,09; I2= 51%), moreover, they weren?t clinically significant. According to these findings and as bleeding is a manageable complication it seems unreasonable to undermine the APT, putting the patient in danger of a thrombotic event and its high inherent morbidity, which isn?t comparable in severity and manageability to the former.? es
dc.title Antiplatelet therapy in patients undergoing oral surgery : a systematic review and meta-analysis es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.22708 es
dc.type.hasVersion VoR es_ES

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