Performance Measurement Network

Question: Is Xarelto an antithromotic for use in Stroke? Can it be used for antithrombotic med at discharge?

Is Xarelto approved for use with stroke as an antithrombotic? Pt had elective cardioversion 2 days prior to arrival and was sent home on Xarelto. He can to ED with chest pain, SOB & dizziness. Pt diagnosed with CVA later on the day of arrival. DO I say yes to antithromotic therapy by Day 2 if pt was taking Xarelto prior to arrival and during hospitalization? If Xarelto is ordered at discharge, do I say yes to discharge antithrombotic? Or is Xarelto an anticoagulant and therefore I would say yes to anticoagulant prescribed at discharge? IF Xarelto is ordered at discharge, is it an implied reason for no anticoagulant or antithrombotic at discharge? Thank you.


Select 'NO' for Xarelto prescribed/administered as an antithrombotic or anticoagulant for discharges prior to January 1, 2013.

Xarelto has been added to Appendix C, Table 8.2 Antithrombotic Medications-Stroke and Table 8.3 Anticoagulant Medications-Stroke with Version 4.2, effective January 1, 2013. Beginning January 1, 2013, you may select 'YES' and use for STK-2, STK-3 and STK-5.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical
Related documents: STK, STK-02, Antithrombotic Therapy Prescribed at Discharge, , Appendix: Medication tables

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