Complications of preinjury warfarin use in the trauma patient.

摘要: Background: The frequency of use warfarin anticoagulation increases significantly in the elderly population. It remains controversial whether this puts these patients at increased risk for hemorrhagic complications after trauma. Methods: We prospectively evaluated consecutive trauma who were taking and compared their outcomes to a group age-matched with head injuries but not warfarin. Results: One hundred fifty-nine on evaluated, 94 (59%) some type trauma; 25 (27%) had documented intracranial Fifteen died (9.4%); they an international normalized ratio 3.3 ± 1.6 versus 3.0 2.1 survivors (p = 0.585). Twelve deaths (48%). Three without injury (5%) other causes related or hemorrhage mean 13 days admission. Ten 12 loss consciousness (LOC); two secondary isolated no LOC. Of 70 warfarin, 47 (67%) 5 (10%) < 0.001 both values study patients). There significant differences comparing those terms age, gender, mechanism injury, Injury Severity Score, Glasgow Come Scale score. Conclusion: conclude that preinjury does place patient fatal absence Furthermore, presence alone is predictive mortality. However, strongly associated mortality rate higher than are LOC also mortality, reliably indicate death.