Key result
Maintenance warfarin therapy in patients with hip fracture significantly delayed surgery, resulting in a 79% breach of the 36-hour Best Practice Tariff compared to 28% in patients not on warfarin.
Why the study?
Does warfarin use at admission delay time to theater and increase breaches of best practice tariff in patients with hip fracture?
Population
991 patients with hip fracture treated operatively over a 32-month period
Comparison
Warfarin anticoagulation at admission vs Not taking warfarin
Design
Cohort
Authors
Loading...
Warfarin at admission was associated with delayed hip fracture surgery and tariff breaches; leaves open reversal protocols for prospective evaluation.
Cohort (n=991)
No
Does warfarin use at admission delay time to theater and increase breaches of best practice tariff in patients with hip fracture?
Absolute Event Rate: 79% vs 28%
p-value: p=<0.01
Warfarin anticoagulation significantly delays surgery for hip fractures, leading to substantial financial losses due to missed best practice tariffs.
Eardley et al. (2014) conducted a cohort in Hip fracture (n=991). Maintenance warfarin therapy vs. Not taking warfarin was evaluated on Breach of Best Practice Tariff (surgery >36 hours) (p=<0.01). Maintenance warfarin therapy in patients with hip fracture significantly delayed surgery, resulting in a 79% breach of the 36-hour Best Practice Tariff compared to 28% in patients not on warfarin.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: