Literature DB >> 10744282

Impact of preinjury warfarin use in elderly trauma patients.

D M Kennedy1, M D Cipolle, M D Pasquale, T Wasser.   

Abstract

BACKGROUND: This study examined the hypothesis that elderly trauma patients on warfarin before injury will have increased morbidity and mortality compared with elderly trauma patients not on warfarin.
METHODS: From 1993 to 1995, trauma patients were grouped by age and presence or absence of warfarin use before injury. Groups were analyzed with respect to Injury Severity Score, Trauma Registry and Injury Severity Score, Glasgow Coma Scale score, Intensive Care Unit days, hospital days, units of blood transfused, and mortality rates. Statistical analysis was completed by using the Student's t test.
RESULTS: Records of 61 patients administered warfarin and 800 patients not administered warfarin were available for analysis. There were no statistically significant differences between patients on prehospital warfarin and those not on prehospital warfarin.
CONCLUSION: This study indicates that elderly trauma patients on warfarin before injury do not have increased morbidity and mortality compared with elderly trauma patients not on warfarin.

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Year:  2000        PMID: 10744282     DOI: 10.1097/00005373-200003000-00012

Source DB:  PubMed          Journal:  J Trauma        ISSN: 0022-5282


  5 in total

1.  Effect of preinjury warfarin use on outcomes after head trauma in Medicare beneficiaries.

Authors:  Courtney E Collins; Elan R Witkowski; Julie M Flahive; Fred A Anderson; Heena P Santry
Journal:  Am J Surg       Date:  2014-07-24       Impact factor: 2.565

Review 2.  Impact of age on the clinical outcomes of major trauma.

Authors:  F Hildebrand; H-C Pape; K Horst; H Andruszkow; P Kobbe; T-P Simon; G Marx; T Schürholz
Journal:  Eur J Trauma Emerg Surg       Date:  2015-08-08       Impact factor: 3.693

3.  Preinjury statin use is associated with a higher risk of multiple organ failure after injury: a propensity score adjusted analysis.

Authors:  Matthew D Neal; Joseph Cushieri; Matthew R Rosengart; Louis H Alarcon; Ernest E Moore; Ronald V Maier; Joseph P Minei; Timothy R Billiar; Andrew B Peitzman; Jason L Sperry
Journal:  J Trauma       Date:  2009-09

4.  Mortality among head trauma patients taking preinjury antithrombotic agents: a retrospective cohort analysis from a Level 1 trauma centre.

Authors:  Sigrid Narum; Odd Brørs; Olav Stokland; Marianne K Kringen
Journal:  BMC Emerg Med       Date:  2016-08-02

5.  Inappropriate preinjury warfarin use in trauma patients: A call for a safety initiative.

Authors:  H H Hon; A Elmously; C D Stehly; J C Stoltzfus; M A Granson; S P Stawicki; B A Hoey
Journal:  J Postgrad Med       Date:  2016 Apr-Jun       Impact factor: 1.476

  5 in total

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