Should surgery be delayed in patients taking direct oral anticoagulants who suffer a hip fracture? A retrospective, case-controlled observational study at a UK major trauma centre.

ABSTRACT:

Objective

To determine whether not waiting for the elimination of direct oral anticoagulants (DOACs) has an effect on the amount of perioperative bleeding in patients who undergo operative treatment of a hip fracture.

Design

Observation, retrospective case-control study.

Setting

A single UK major trauma centre.

Participants

Patients who sustained a hip fracture were identified using the National Hip Fracture Database (NHFD). All those found to be taking a DOAC at the time of fracture were identified (n=63). A matched group not taking a DOAC was also identified from the NHFD (n=62).

Main outcome

Perioperative drop in haemoglobin concentration.

Results

There was no relationship between admission to operation interval and perioperative change in haem

SUBMITTER: Mullins B 

PROVIDER: S-EPMC5931299 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature