Management of Patients Taking Oral Anticoagulants Who Need Urgent Surgery for Hip Fracture.

Abstract:

:The number of hip fractures in anticoagulated patients is predicted to increase, due to people living longer. However, evidence regarding urgent perioperative management of elderly patients with hip fracture who take oral anticoagulants (vitamin K antagonists or direct oral anticoagulants) is scarce. In this article, the authors present a narrative review of the evidence to date supporting the urgent management of hip fracture in anticoagulated elderly patients. They discuss the complexity of managing the high risk of procedure-related bleeding and, at the same time, the high risk of thromboembolism. The role of a bridging procedure and the best strategy of anticoagulation reversal are also reviewed. Further studies are required to improve the evidence in urgent surgery, especially in frail elderly patients.

journal_name

Semin Thromb Hemost

authors

Grandone E,Ostuni A,Tiscia GL,Marongiu F,Barcellona D

doi

10.1055/s-0039-1678718

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

164-170

issue

2

eissn

0094-6176

issn

1098-9064

journal_volume

45

pub_type

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