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 language | English (US) |
|---|---|
| Pages (from-to) | 221-234 |
| Number of pages | 14 |
| Journal | Cardiology Clinics |
| Volume | 26 |
| Issue number | 2 |
| DOIs | |
| State | Published - May 2008 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Prevention of Venous Thromboembolism in the Geriatric Patient. / Brotman, Daniel; Jaffer, Amir K.
In: Cardiology Clinics, Vol. 26, No. 2, 05.2008, p. 221-234.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prevention of Venous Thromboembolism in the Geriatric Patient
AU - Brotman, Daniel
AU - Jaffer, Amir K.
PY - 2008/5
Y1 - 2008/5
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=41749120992&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=41749120992&partnerID=8YFLogxK
U2 - 10.1016/j.ccl.2007.12.008
DO - 10.1016/j.ccl.2007.12.008
M3 - Article
C2 - 18406996
AN - SCOPUS:41749120992
VL - 26
SP - 221
EP - 234
JO - Cardiology Clinics
JF - Cardiology Clinics
SN - 0733-8651
IS - 2
ER -