Traumatic events involving elderly patients treated with anticoagulants for atrial fibrillation: the downside of stroke prevention

  • Alessandro Riccardi | a.riccardi@asl2.liguria.it Emergency Department, San Paolo Hospital, Savona, Italy.
  • Pierangela Minuto Emergency Department, San Paolo Hospital, Savona, Italy.
  • Maria Ghinatti Emergency Department, San Paolo Hospital, Savona, Italy.
  • Grazia Guiddo Emergency Department, San Paolo Hospital, Savona, Italy.
  • Alessandro Calvia Emergency Department, San Paolo Hospital, Savona, Italy.
  • Roberto Lerza Emergency Department, San Paolo Hospital, Savona, Italy.

Abstract

A group of oral anticoagulant-treated patients affected by permanent atrial fibrillation was evaluated after their access to the emergency room as a result of a traumatic accident. In these patients, the re-evaluation of their risk of thromboembolism and bleeding was performed together with the evaluation of their risk of falling and institutionalization. Results show that the emergency department identifies a cohort of very elderly frail patients, who should be carefully reconsidered for anticoagulant therapy after a traumatic event.

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Published
2016-08-04
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Original Articles
Keywords:
Oral anticoagulant, Fall, Elderly, Atrial fibrillation, Clinical score
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How to Cite
Riccardi, A., Minuto, P., Ghinatti, M., Guiddo, G., Calvia, A., & Lerza, R. (2016). Traumatic events involving elderly patients treated with anticoagulants for atrial fibrillation: the downside of stroke prevention. Emergency Care Journal, 12(2). https://doi.org/10.4081/ecj.2016.5875

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