Proximal femur fractures in patients taking anticoagulants
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Why the study?
Thirty per cent of patients presenting with proximal femoral fractures receive anticoagulants, which may require reversal prior to surgery, causing surgical delay.
How should anticoagulant and antiplatelet therapy be managed in patients presenting with proximal femoral fractures requiring surgery?
Population
Patients presenting with proximal femoral fractures who are receiving anticoagulant treatment
Design
Review
Authors
Discussion
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Implication
May support continuing platelet inhibitors without delay in hip fracture surgery; hypothesis-generating and requires higher-level confirmation.
Structured PICO
How should anticoagulant and antiplatelet therapy be managed in patients presenting with proximal femoral fractures requiring surgery?
P
Population
Patients presenting with proximal femoral fractures who are receiving anticoagulant treatment
I
Intervention
Perioperative management of anticoagulants (platelet inhibitors, vitamin K antagonists, direct oral anticoagulants)
This review outlines practical strategies for managing various anticoagulants in patients requiring urgent hip fracture surgery to balance bleeding risks and surgical delays.
Cite This Study
Papachristos et al. (2020) studied this question.
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