Katherine Creeper, Andrew Stafford, Sophie Reynolds, Sapna Samida, Stephanie P'Ng, Denise Glennon, Hannah Seymour, Carolyn Grove
BACKGROUND: Hip fractures are a common problem and corrective surgery is recommended within 24hrs. However, most peri-operative direct oral anticoagulant (DOAC) guidelines suggest a washout period of 48 hours before major surgery. There is limited data on utility of drug levels. OBJECTIVE: To investigate the effect of DOAC therapy on time to surgery and patient outcomes, and to explore the impact of different pre-operative protocols on surgical delay. METHODS: A multi-centre, retrospective analysis of all adult patients that presented with acute hip fracture at three tertiary hospitals in Perth, Western Australia was performed...
August 12, 2020: Internal Medicine Journal