Official Journal of the Italian Society of Orthopaedics and Traumatology
Patients at high risk of bleeding | Patients to be carefully evaluated for possible risk of bleeding |
---|---|
Prolonged PT (INR > 1.5) | Prolonged APTT (except antiphospholipid antibody syndrome) |
Thrombocytopenia < 50,000/µl |  |
Known bleeding diathesis | Severe CRF (creatinine clearance < 30Â ml/min) |
Chronic liver disease with prior bleeding episodes | Family or personal history of major bleeding |
Multiple trauma (ISS ≥ 15) | Concomitant use of drugs affecting hemostasis (e.g., antiplatelet drugs, anti-inflammatory drugs) |