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Can old people on oral anticoagulants be safely managed as out-patients?

Joglekar, M., Mohanaruban, K., Bayer, Antony James and Pathy, M. S. 1988. Can old people on oral anticoagulants be safely managed as out-patients? Postgraduate Medical Journal 64 (756) , pp. 775-777. 10.1136/pgmj.64.756.775

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Of 62 patients (mean age 75, range 65-92 years) referred to an out-patient anticoagulant clinic specifically for those aged 65 years or more, treatment was considered unsafe in only one patient and was discontinued. Minor bleeding which did not require a significant change in management was recorded on 25 (7%) of 381 clinic visits and one major haemorrhage occurred requiring emergency hospital admission. Anticoagulation was maintained within the therapeutic range on 284 (75%) visits. The results confirm that with appropriate out-patient care and supervision, the risks of oral anticoagulant therapy in the elderly need be no greater than in younger patients

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > RM Therapeutics. Pharmacology
Publisher: BMJ Publishing Group
ISSN: 0032-5473
Last Modified: 04 Jun 2017 05:15

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