Prevention of Venous Thromboembolism in the Geriatric Patient

Daniel J. Brotman, Amir K. Jaffer

Research output: Contribution to journalReview articlepeer-review

Abstract

Elderly patients immobilized because of an acute medical illness or surgery have a very high risk of developing venous thromboembolism (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, such as active bleeding. It is recommended that the clinician carefully evaluate the elderly patient's creatinine clearance and weight before prescribing anticoagulants, particularly when using fixed dosing regimens.

Original languageEnglish (US)
Pages (from-to)221-234
Number of pages14
JournalCardiology clinics
Volume26
Issue number2
DOIs
StatePublished - May 1 2008

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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