Outpatient thromboprophylaxis after hip or knee surgery: discrepancies and concerns

Fisher, William D.; Turpie, Alexander G. G.
June 2008
CMAJ: Canadian Medical Association Journal;6/3/2008, Vol. 178 Issue 12, p1571
Academic Journal
The article discusses the study by E. Rahme and colleagues regarding the variation in the use of postdischarge thromboprophylaxis after hip or knee replacement surgery among patients aged 65 years and older after dismissal in the U.S. It is averred that the study has a number of restrictions that lessen its impact which only included 33% of all the patients who pass through hip and knee surgery who were released directly from the hospital and it excluded prescriptions given to patients while in hospital. It is inferred that the results of the study may not be generalizable.


Related Articles

  • Impact of Hospitalisation in an Acute Medical Geriatric Unit on Potentially Inappropriate Medication Use. Laroche, Marie-Laure; Charmes, Jean-Pierre; Nouaille, Yves; Fourrier, Annie; Merle, Louis // Drugs & Aging;2006, Vol. 23 Issue 1, p49 

    Background and objective: Potentially inappropriate medication use is a major safety issue in the elderly and may cause a substantial proportion of drug-related hospital admissions. Hospitalisation could result in a change in the quantity and type of drugs, but its effect on potentially...

  • Delayed discharge falls, not rises. Cartwright, Ruth // Community Care;11/22/2007, Issue 1700, p12 

    The author responds to a government report which states that the decrease in delayed discharges from hospital is declining in Great Britain. She claims that the government figure is wrong because delayed discharges from hospital continues. She points out the conflict between the policy of...

  • Comprehensive Discharge Planning for the Hospitalized Elderly. Naylor, Mary; Brooten, Dorothy; Jones, Robert; Lavizzo-Mourey, Risa; Mezey, Mathy; Pauly, Mark // Annals of Internal Medicine;6/15/94, Vol. 120 Issue 12, p999 

    Presents information on a study which examined the effects of a comprehensive discharge planning protocol on patients and caregiver outcomes and cost of care. Characteristics of hospitalized elderly patients in medical and surgical diagnostic-related groups; Methodology; Results and discussion.

  • Elderly heart failure patients get help at home.  // Hospital Case Management;Apr2010, Vol. 18 Issue 4, p57 

    The article presents information on the Hospital to Home program, a joint initiative of The Methodist Hospital in Houston, Texas, and Care for Elders, a community coalition that cares for older adults. The program provides a transition coach who goes into the home of elderly heart failure...

  • Self referral to hospital may be fuelled by desperation. Hilton, Claire // BMJ: British Medical Journal;10/6/2012, Vol. 345 Issue 7877, p26 

    A letter to the editor is presented in response to the article "Pressure on hospitals has led to worse care for older patients," by N. Hawkes in the September12, 2012 issue of the journal.

  • Factors affecting early unplanned readmission of elderly patients to hospital. Williams, E. Idris; Fitton, Freda // BMJ: British Medical Journal (International Edition);9/24/88, Vol. 297 Issue 6651, p784 

    Focuses on the early unplanned readmission of elderly patients to hospitals. Reasons for readmission; Rates of readmission in the aged; Characteristics of patients readmitted in an emergency.

  • readmission of older people to acute medical units. Munshi, Sunil Kumar // Nursing Older People;Mar2002, Vol. 14 Issue 1, p14 

    Presents a report on the analysis of readmission of older people to a teaching hospital in Great Britain from 1998 to 2000. Classifications of the readmission; Statistics on the number of readmissions during the three years; Reasons for readmissions.

  • A winter survey of domestic heating among elderly patients. Morgan, R.; Blair, A.; King, D. // Journal of the Royal Society of Medicine;Feb1996, Vol. 89 Issue 2, p85 

    Elderly people have a greater need for domestic heating given the time they spend at home and the decline in the body thermoregulation that occurs with ageing. The use of domestic heating by 200 mentally competent newly admitted elderly in patients was evaluated by means of a questionnaire...

  • Continuity and Adherence to Long-Term Drug Treatment by Geriatric Patients after Hospital Discharge: A Prospective Cohort Study. Mansur, Nariman; Weiss, Avraham; Hoffman, Amnon; Gruenewald, Tsipora; Beloosesky, Yichayaou // Drugs & Aging;2008, Vol. 25 Issue 10, p861 

    BACKGROUND: Increased life expectancy is associated with an increased prevalence of chronic diseases and drug consumption. Changes often occur in the medication regimen after hospitalization. The extent and nature of these changes and the adherence of elderly patients have not yet been fully...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics