• Wien Med Wochenschr · Oct 2013

    Review

    Stress ulcer prophylaxis, thromboprophylaxis and coagulation management in patients with hip fractures.

    • Heinrich Wolfgang Thaler, Peter Dovjak, Bernhard Iglseder, Georg Pinter, Ernst Müller, Walter Müller, Katharina Pils, Peter Mikosch, Inge Gerstorfer, Michaela Zmaritz, Monique Weissenberger-Leduc, and Markus Gosch.
    • AUVA Trauma Center Meidling, Kundratstraße 37, 1120, Vienna, Austria, heinrich.thaler@auva.at.
    • Wien Med Wochenschr. 2013 Oct 1; 163 (19-20): 442-7.

    AbstractHip fracture in older patients is a major health concern. 20-25 % of hip fracture patients will die in the first year after the trauma (Lane, Clin Orthop Relat Res 471(8):2711, 2013). Postoperative venous thrombosis and gastrointestinal stress-ulcer bleeding are frequent complications with a high case-fatality rate particularly in older patients. Thromboprophylaxis and stress ulcer prophylaxis are important and well established measures to decrease postoperative complications and the mortality rate in this high-risk population.The working group on orthogeriatrics of the Austrian Society on Geriatrics and Gerontology (ÖGGG) is composed of geriatricians who work as trauma surgeons, internists, anaestesists and nurses. A thorough literature search was done, using the terms "orthogeriatrics" and "hip fracture" in combination with "stress ulcer", "gastrointestinal bleeding" and "thrombosis", "thromboprophylaxis". The data was collected, discussed and evaluated in several adjustment meetings of the group and summarized in this article.

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