Chronic Warfarin Anticoagulation in Hip Fracture Patients Delays Surgery and Is Associated With Increased Risk of Postoperative Complications: A Multicenter Propensity-Score-Matched Analysis.

ABSTRACT:

Objective

To evaluate the effect of warfarin on blood transfusion and postoperative complications in a low-energy hip fracture population compared with a non-anticoagulated comparison group.

Design

Multicenter Retrospective Cohort.

Setting

Three Urban Level I Academic Trauma Centers.

Patients

Acute, low-energy, native hip fractures in patients 55 years of age or older on chronic warfarin anticoagulation, propensity score matched 1:2 to non-anticoagulated hip fracture patients meeting all other inclusion criteria.

Main outcome measurements

Transfusion and postoperative complication rates.

Results

Two hundred ten anticoagulated hip fracture patients were matched to 420 nonanticoagulated patients. A higher proportion of patients required blood transf

SUBMITTER: Levack AE 

PROVIDER: S-EPMC9868061 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature