Key result
Oral anticoagulation status at admission did not independently increase length of stay, surgical complications, or cost of hospitalization in patients over 60 undergoing hip fracture fixation.
Why the study?
Does pre-admission use of oral anticoagulants affect hospital quality outcomes in patients over 60 undergoing hip fracture fixation?
Population
479 patients aged 60 and older with isolated hip fracture injuries treated operatively at 1 academic medical…
Comparison
Pre-admission use of oral anticoagulants or… vs No pre-admission use of anticoagulants or…
Design
Cohort
Follow-up
In-hospital
Authors
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May reassure clinicians on perioperative management of anticoagulated elderly hip fracture patients; leaves open need for prospective confirmation.
Cohort (n=479)
No
Does pre-admission use of oral anticoagulants affect hospital quality outcomes in patients over 60 undergoing hip fracture fixation?
Absolute Event Rate: 8.3% vs 7.3%
p-value: p=0.300
Pre-admission anticoagulation status in older patients undergoing hip fracture fixation does not independently worsen surgical outcomes, length of stay, or cost, though it increases the need for higher-level postoperative care.
Lott et al. (2018) conducted a cohort in Hip fracture (n=479). Oral anticoagulants vs. No oral anticoagulants was evaluated on Length of stay (days) (p=0.300). Oral anticoagulation status at admission did not independently increase length of stay, surgical complications, or cost of hospitalization in patients over 60 undergoing hip fracture fixation.
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