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Falls

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One of the most frequently cited reasons for nontreatment is the perception of a high risk of falls and associated concerns about bleeding, especially intracranial haemorrhage.51 The study of Man‐Son‐Hing, et al. estimated that an individual would have to fall 295 times in one year for the risk of fall‐related major bleeding to outweigh the benefit of warfarin in reducing the risk of stroke.52 So, based on available evidence, perception of a high risk of falling should not be taken as justification not to initiate or to withhold anticoagulation in older patients who are otherwise suitable candidates for such therapy.48

Pathy's Principles and Practice of Geriatric Medicine

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