Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative.

Hon HH, Elmously A, Stehly CD, et al. J Postgrad Med. 2016;62:73-79.

Warfarin is a recognized high-risk medication that accounts for many hospitalizations due toadverse drug events. This case-control study of patients with traumatic brain injury found that hospital length of stay and mortality were higher among patients taking warfarin compared to those who were not. Additionally, more than 16% of the patients on warfarin may have been taking the medication inappropriately. A WebM&M commentary discusses a case involving a near miss due to inadequate warfarin monitoring.

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