Venous thromboembolism and postoperative management of anticoagulation.
Deep venous thrombosis and pulmonary embolism are common after fragility fracture surgery, although the incidence is decreasing over time. Prophylaxis is important, because it is effective; additionally, the consequences are significant. Several medications are available for prophylaxis, and the choice of agent should be determined based on patient and surgery characteristics, and balancing of venous thromboembolism (VTE) and bleeding risk. A comprehensive approach to VTE prophylaxis includes consideration of a pharmacologic agent and nonpharmacologic management.
Department of Medicine, Division of Geriatrics, University of Rochester School of Medicine and Dentistry, 1000 South Avenue, Box 58, Rochester, NY 14620, USA. Electronic address: susan_friedman@URMC.rochester.edu.
Susan M
SM
Friedman
Department of Medicine, Division of Geriatrics, University of Rochester School of Medicine and Dentistry, 1000 South Avenue, Box 58, Rochester, NY 14620, USA.
Joshua D
JD
Uy
D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000008:administration & dosage*; D015897:Comorbidity; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods; D006470:Hemorrhage / Q000517:prevention & control; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D018570:Risk Assessment / Q000379:methods; D012307:Risk Factors; D054556:Venous Thromboembolism / Q000517:prevention & control*
D000925:Anticoagulants
Deep venous thrombosis; Prevention; Pulmonary embolism