Can old people on oral anticoagulants be safely managed as out-patients?
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...
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| Veröffentlicht in: | Postgraduate medical journal 1988-10, Vol.64 (756), p.775-777 |
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| container_title | Postgraduate medical journal |
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| creator | Joglekar, M. Mohanaruban, K. Bayer, A. J. Pathy, M. S. |
| description | 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. |
| doi_str_mv | 10.1136/pgmj.64.756.775 |
| format | Article |
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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.</description><identifier>ISSN: 0032-5473</identifier><identifier>EISSN: 1469-0756</identifier><identifier>DOI: 10.1136/pgmj.64.756.775</identifier><identifier>PMID: 3255918</identifier><language>eng</language><publisher>England: The Fellowship of Postgraduate Medicine</publisher><subject>Administration, Oral ; Aged ; Aged, 80 and over ; Ambulatory Care ; Anticoagulants - adverse effects ; Anticoagulants - therapeutic use ; Female ; Humans ; Male ; Outpatient Clinics, Hospital ; Thromboembolism - drug therapy</subject><ispartof>Postgraduate medical journal, 1988-10, Vol.64 (756), p.775-777</ispartof><rights>Copyright BMJ Publishing Group LTD Oct 1988</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b489t-f89504ba72aa27f763a421a1369a644a6db2df09f1526e6812186d3ec50db2153</citedby><cites>FETCH-LOGICAL-b489t-f89504ba72aa27f763a421a1369a644a6db2df09f1526e6812186d3ec50db2153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2429018/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2429018/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3255918$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joglekar, M.</creatorcontrib><creatorcontrib>Mohanaruban, K.</creatorcontrib><creatorcontrib>Bayer, A. 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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.</description><subject>Administration, Oral</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Care</subject><subject>Anticoagulants - adverse effects</subject><subject>Anticoagulants - therapeutic use</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Outpatient Clinics, Hospital</subject><subject>Thromboembolism - drug therapy</subject><issn>0032-5473</issn><issn>1469-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkc2L1EAQxRtR1tnVsyehQdiDkNn-7s5FWQbd2WVVEPXgpakknTFjko7pZHH_-61hhkG9eOoq3q-r6vEIecHZknNpLoZNt10atbTaLK3Vj8iCK5NnDPvHZMGYFJlWVj4lpyltGePSKn5CTqTQOuduQdYr6GlsKzqEOLSBRuxGaCn0U1NG2MwtVokWgSaoQ3tPO-hhEyoKicZ5ygaYmoDE22fkSQ1tCs8P7xn5-v7dl9U6u_10db26vM0K5fIpq12umSrACgBha2skKMEBreRglAJTFaKqWV5zLUwwjgvuTCVDqRkqXMsz8mY_d5iLLlQlLsd7_TA2HYz3PkLj_1b65offxDsvlMgZdzjg_DBgjL_mkCbfNakMLRoNcU7eOmtdLnfgq3_AbZzHHs15bi1zQnJmkbrYU-UYUxpDfTyFM7-LyO8i8kZ5jMRjRPjj5Z8OjvwhE9Szvd6kKfw-yjD-9MZKq_3Hbyv_wd18vlHf1_4K-dd7vsA9_1v-AJhOqY4</recordid><startdate>19881001</startdate><enddate>19881001</enddate><creator>Joglekar, M.</creator><creator>Mohanaruban, K.</creator><creator>Bayer, A. 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J.</au><au>Pathy, M. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can old people on oral anticoagulants be safely managed as out-patients?</atitle><jtitle>Postgraduate medical journal</jtitle><addtitle>Postgrad Med J</addtitle><date>1988-10-01</date><risdate>1988</risdate><volume>64</volume><issue>756</issue><spage>775</spage><epage>777</epage><pages>775-777</pages><issn>0032-5473</issn><eissn>1469-0756</eissn><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. 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| ispartof | Postgraduate medical journal, 1988-10, Vol.64 (756), p.775-777 |
| issn | 0032-5473 1469-0756 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Administration, Oral Aged Aged, 80 and over Ambulatory Care Anticoagulants - adverse effects Anticoagulants - therapeutic use Female Humans Male Outpatient Clinics, Hospital Thromboembolism - drug therapy |
| title | Can old people on oral anticoagulants be safely managed as out-patients? |
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