Cookie policy notice

By continuing to use this site you agree to our cookies policy below:
Since 26 May 2011, the law now states that cookies on websites can ony be used with your specific consent. Cookies allow us to ensure that you enjoy the best browsing experience.

This site is intended for health professionals only

At the heart of general practice since 1960

Pneumococcal jab could save NHS millions

Being housebound greatly increases the risk of a warfarin-associated bleed, but old age has no independent effect, according to a GP-led study.

The authors said many GPs had assumed the elderly were automatically at increased risk of suffering a bleed, which had led to underuse of warfarin in older patients.

But they said the focus should be on patients who are housebound, after finding they were 14 times more likely than normal to suffer a bleed.

The study was published in September's British Journal of General Practice and looked at 344 patients with an average age of 71 who were taking warfarin.

Study leader Dr Barclay Goudie, a GP in Dundee, said: 'The data suggests the management of patients who need domiciliary monitoring should differ from that of patients who are still mobile enough to attend the surgery.

'It may be necessary to apply more restrictive criteria for initiating treatment and to adopt a lower target INR in dependent patients.'

He said multiple morbidity, polypharmacy, cognitive impairment and frequent hospital visits might contribute to the increased risk of bleeding.

Rate this article 

Click to rate

  • 1 star out of 5
  • 2 stars out of 5
  • 3 stars out of 5
  • 4 stars out of 5
  • 5 stars out of 5

0 out of 5 stars

Have your say