The Impact of Anticoagulant Medications on Fragility Femur Fracture Care: The Hip and Femoral Fracture Anticoagulation Surgical Timing Evaluation (Haste) Study

The benefits of expedited surgery to patients with fragility femoral fractures is established and underpins guidelines for their care [1,2]. Despite this, patients who take anticoagulant medications such as Vitamin K antagonists (VKA) and Direct Oral AntiCoagulants (DOAC) typically experience longer surgical delay greater than those that don't [3]. Anecdotally, delay is driven by concerns of complications despite the fact that prompt surgery is both safe and feasible [4 –9] and evidence for increased complications is scarce.
Source: Injury - Category: Orthopaedics Authors: Source Type: research