
Inappropriate preinjury warfarin use in trauma patients: A call for a safety initiative
Author(s) -
Heidi H. Hon,
Adham Elmously,
Christy D. Stehly,
Jill Stoltzfus,
Marc A. Granson,
Stanislaw P Stawicki,
Brian A. Hoey
Publication year - 2016
Publication title -
journal of postgraduate medicine/journal of postgraduate medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.405
H-Index - 52
eISSN - 0972-2823
pISSN - 0022-3859
DOI - 10.4103/0022-3859.175004
Subject(s) - medicine , warfarin , medical emergency , occupational safety and health , injury prevention , poison control , medline , intensive care medicine , emergency medicine , atrial fibrillation , pathology , political science , law
Warfarin continues to be widely prescribed for a variety of conditions. It has been shown that preinjury warfarin may worsen outcomes in trauma patients. We hypothesized that a substantial proportion of injured patients seen at our institution were receiving preinjury warfarin for inappropriate indications and that a significant number of such patients had subtherapeutic or supratherapeutic international normalized ratios as well as increased mortality.