Journal article : Review
Antithrombotics in trauma: management strategies in the older patients
- Abstract:
- The ageing population has resulted in a change in the demographics of trauma, and older adult trauma now accounts for a growing number of trauma admissions. The management of older adult trauma can be particularly challenging, and exhibits differences to that of the younger age groups affected by trauma. Frailty syndromes are closely related with falls, which are the leading cause of major trauma in older adults. Comorbid disease and antithrombotic use are more common in the older population. Physiological changes that occur with ageing can alter the expected clinical presentation of older persons after injury and their susceptibility to injury. Following major trauma, definitive control of hemorrhage remains essential for improving outcomes. In the initial assessment of an injured patient, it is important to consider whether the patient is taking anticoagulants or antiplatelets and if measures to promote hemostasis such as reversal are indicated. After hemostasis is achieved and bleeding has stopped, longer-term decisions to recommence antithrombotic agents can be challenging, especially in older people. In this review, we discuss one aspect of management for the older trauma patients in greater detail, that is, acute and longer-term management of antithrombotic therapy. As we consider the health needs of an ageing population, rise in elderly trauma and increasing use of antithrombotic therapy, the need for research in this area becomes more pressing to establish best practice and evidence-based care.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, 603.6KB, Terms of use)
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- Publisher copy:
- 10.2147/JBM.S125209
Authors
- Publisher:
- Dove Medical Press
- Journal:
- Journal of Blood Medicine More from this journal
- Volume:
- 8
- Issue:
- 2017
- Pages:
- 165-174
- Place of publication:
- New Zealand
- Publication date:
- 2017-10-04
- Acceptance date:
- 2017-08-25
- DOI:
- EISSN:
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1179-2736
- Pmid:
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29042825
- Language:
-
English
- Keywords:
- Subtype:
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Review
- Pubs id:
-
738902
- Local pid:
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pubs:738902
- Deposit date:
-
2020-03-06
Terms of use
- Copyright holder:
- Wong et al.
- Copyright date:
- 2017
- Rights statement:
- © 2017 Wong et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
- Licence:
- CC Attribution-NonCommercial (CC BY-NC)
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