Preoperative Warfarin Reversal for Early Hip Fracture Surgery

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Preoperative warfarin reversal for early hip fracture surgery.

PURPOSE To evaluate our hospital protocol of low-dose vitamin K titration for preoperative warfarin reversal for early hip fracture surgery. METHODS Records of 16 men and 33 women aged 63 to 93 (mean, 81) years who were taking warfarin for atrial fibrillation (n=40), venous thromboembolism (n=9), cerebrovascular accident (n=3), and prosthetic heart valve (n=3) and underwent surgery for hip fr...

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Comparison of different warfarin reversal protocols on surgical delay and complication rate in hip fracture patients.

PURPOSE. To compare the effects of different warfarin reversal protocols on surgical delay and complication rate in hip fracture patients. METHODS. Records of 7 men and 17 women aged 68 to 93 (mean, 82) years who were on warfarin and underwent surgery for femoral neck fractures were reviewed. The time to surgery, complication rate, and mortality were recorded, as were the International Normalis...

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Budget Impact Analysis of Warfarin Reversal Therapies Among Hip Fracture Patients in Finland

BACKGROUND Hip fractures require operation within 36-48 h, and they are most common in the elderly. A high International Normalized Ratio should be corrected before surgery. In the current study, we analyzed the budget impact of various warfarin reversal approaches. METHODS Four reversal strategies were chosen for the budget impact analysis: the temporary withholding of warfarin, administrati...

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Use of Almelo Hip Fracture Score to predict early mortality following hip fracture surgery.

We thank Fu-Shan Xue et al. for their valuable comments in the ‘Letter to Editor’ [1], written in response to our original article concerning the Almelo Hip Fracture Score [2]. In this reply we would like to clarify several issues appointed in their article. Hip fractures are common in elderly patients. Their unfavorable patients profile with comorbidity, frailty and polypharmacy indicate that ...

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Modernising Hip Fracture Surgery

Edward Dawe FRCS(Tr & Orth) BSC(Hons) Dip(SEM), Specialty Registrar Year 8, Royal Surrey County Hospital Guildford, Honorary Clinical Lecturer Brighton and Sussex Medical School, ORKSS research collaborative Piers Page MPhil MRCSEd, Specialty Registrar Year 4, Frimley Park Hospital, Honorary Clinical Lecturer Brighton and Sussex Medical School, ORKSS research collaborative Hip fracture, while a...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2015

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949901502300108