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Outcomes and anticoagulation use for elderly patients that present with an acute hip fracture: Multi‐centre, retrospective analysis.

Internal Medicine Journal Aug 18, 2020

Creeper K, Stafford A, Reynolds S, et al. - Researchers sought to determined how direct oral anticoagulant (DOAC) therapy affects the time to surgery and outcomes in adult patients presenting with acute hip fracture. Further, they examined the impact of different preoperative protocols on surgical delay. They assessed 1,240 hip fracture patients presenting at three tertiary hospitals in Perth, Western Australia. Among these, 145 (11.8%) were on anticoagulation, with more patients taking a DOAC than warfarin. Per findings, there was a significant delay before corrective surgery among people on DOAC treatment compared with those on warfarin. The frequent finding of early DOAC levels < 50ng/mL is possibly suggestive of no necessity for this delay in a significant proportion of patients.

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