Abstract
Elderly patients who are immobilized because of an acute medical illness or surgery have a very high risk of developing VTE. Aggressive pharmacologic prophylaxis is necessary and should be initiated either at admission for a medical condition or shortly after surgery. Aggressive prophylaxis may result in fewer patients developing VTE in the hospital and ultimately lead to fewer patients requiring full-dose anticoagulation for VTE. Mechanical prophylaxis can be used as an adjunct to an anticoagulant-based regimen but should only be used as primary prophylaxis when there is a contraindication to pharmacologic prophylaxis, such as active bleeding. Recommendations regarding type and duration of prophylaxis for the various conditions are summarized in Table 1. Finally, the authors recommend the clinician carefully evaluate the elderly patient's creatinine clearance and weight before prescribing anticoagulants, particularly when using fixed dosing regimens.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 93-111 |
| Number of pages | 19 |
| Journal | Clinics in Geriatric Medicine |
| Volume | 22 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 2006 |
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ASJC Scopus subject areas
- Geriatrics and Gerontology
Cite this
Prevention of venous thromboembolism in the geriatric patient. / Jaffer, Amir K.; Brotman, Daniel.
In: Clinics in Geriatric Medicine, Vol. 22, No. 1, 02.2006, p. 93-111.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prevention of venous thromboembolism in the geriatric patient
AU - Jaffer, Amir K.
AU - Brotman, Daniel
PY - 2006/2
Y1 - 2006/2
N2 - Elderly patients who are immobilized because of an acute medical illness or surgery have a very high risk of developing VTE. Aggressive pharmacologic prophylaxis is necessary and should be initiated either at admission for a medical condition or shortly after surgery. Aggressive prophylaxis may result in fewer patients developing VTE in the hospital and ultimately lead to fewer patients requiring full-dose anticoagulation for VTE. Mechanical prophylaxis can be used as an adjunct to an anticoagulant-based regimen but should only be used as primary prophylaxis when there is a contraindication to pharmacologic prophylaxis, such as active bleeding. Recommendations regarding type and duration of prophylaxis for the various conditions are summarized in Table 1. Finally, the authors recommend the clinician carefully evaluate the elderly patient's creatinine clearance and weight before prescribing anticoagulants, particularly when using fixed dosing regimens.
AB - Elderly patients who are immobilized because of an acute medical illness or surgery have a very high risk of developing VTE. Aggressive pharmacologic prophylaxis is necessary and should be initiated either at admission for a medical condition or shortly after surgery. Aggressive prophylaxis may result in fewer patients developing VTE in the hospital and ultimately lead to fewer patients requiring full-dose anticoagulation for VTE. Mechanical prophylaxis can be used as an adjunct to an anticoagulant-based regimen but should only be used as primary prophylaxis when there is a contraindication to pharmacologic prophylaxis, such as active bleeding. Recommendations regarding type and duration of prophylaxis for the various conditions are summarized in Table 1. Finally, the authors recommend the clinician carefully evaluate the elderly patient's creatinine clearance and weight before prescribing anticoagulants, particularly when using fixed dosing regimens.
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UR - http://www.scopus.com/inward/citedby.url?scp=29244471593&partnerID=8YFLogxK
U2 - 10.1016/j.cger.2005.09.003
DO - 10.1016/j.cger.2005.09.003
M3 - Article
C2 - 16377469
AN - SCOPUS:29244471593
VL - 22
SP - 93
EP - 111
JO - Clinics in Geriatric Medicine
JF - Clinics in Geriatric Medicine
SN - 0749-0690
IS - 1
ER -