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

By M. Joglekar, K. Mohanaruban, Antony James Bayer and M. S. Pathy

Abstract

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 patient

Topics: RM Therapeutics. Pharmacology
Publisher: BMJ Publishing Group
Year: 1988
DOI identifier: 10.1136/pgmj.64.756.775
OAI identifier: oai:http://orca.cf.ac.uk:50102
Provided by: ORCA
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