دورية أكاديمية
أعرض في EDS

Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement.

التفاصيل البيبلوغرافية
العنوان: Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement.
المؤلفون: Mitchell RJ; Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia., Wijekulasuriya S; Department of Anaesthesia, Huddersfield Royal Infirmary, Huddersfield, UK., Mayor A; Department of Medicine, McMaster University, Hamilton, ON, Canada., Borges FK; Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil., Tonelli AC; Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil.; Department of Orthopaedic Surgery and Biomedical Engineering, University of Michigan, Ann Arbour, MI, USA., Ahn J; Department of Geriatric Medicine, Fiona Stanley Fremantle Hospitals Group, Perth, WA, Australia., Seymour H; Department of Geriatric Medicine, Fiona Stanley Fremantle Hospitals Group, Perth, WA, Australia.
مؤلفون مشاركون: Fragility Fracture Network Hip Fracture Audit Special Interest Group
المصدر: Anaesthesia [Anaesthesia] 2024 Jun; Vol. 79 (6), pp. 627-637. Date of Electronic Publication: 2024 Feb 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 0370524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2044 (Electronic) Linking ISSN: 00032409 NLM ISO Abbreviation: Anaesthesia Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford, UK : Wiley-Blackwell
Original Publication: London, Academic Press; New York, Grune & Stratton.
مواضيع طبية MeSH: Hip Fractures*/surgery , Anticoagulants*/therapeutic use , Anticoagulants*/administration & dosage , Consensus*, Humans ; Aged ; Administration, Oral ; Delphi Technique ; Nerve Block/methods ; Anesthesia, General ; Aged, 80 and over ; Anesthesia, Spinal/methods
مستخلص: Hip fracture is a common serious injury among older adults, yet the management of hip fractures for patients taking direct oral anticoagulants remains inconsistent worldwide. Drawing from a synthesis of available evidence and expert opinion, best practice approaches for managing patients with a hip fracture and who are taking direct oral anticoagulants pre-operatively were considered by a working group of the Fragility Fracture Network Hip Fracture Audit Special Interest Group. The literature and related clinical guidelines were reviewed and a two-round modified Delphi study was conducted with a panel of experts from 16 countries and involved seven clinical specialities. Four consensus statements were achieved: peripheral nerve blocks can reasonably be performed on presentation for patients with hip fracture who are receiving direct oral anticoagulants; hip fracture surgery can reasonably be performed for patients taking direct oral anticoagulants < 36 h from last dose; general anaesthesia could reasonably be administered for patients with hip fracture and who are taking direct oral anticoagulants < 36 h from last dose (assuming eGFR > 60 ml.min -1 .1.73 m -2 ); and it is generally reasonable to consider recommencing direct oral anticoagulants (considering blood loss and haemoglobin) < 48 h after hip fracture surgery. No consensus was achieved regarding timing of spinal anaesthesia. The consensus statements were developed to aid clinicians in their decision-making and to reduce practice variations in the management of patients with hip fracture and who are taking direct oral anticoagulants. Each statement will need to be considered specific to each individual patient's treatment.
(© 2024 Association of Anaesthetists.)
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فهرسة مساهمة: Keywords: DOAC; guidelines; hip fracture; surgery
المشرفين على المادة: 0 (Anticoagulants)
تواريخ الأحداث: Date Created: 20240206 Date Completed: 20240510 Latest Revision: 20240510
رمز التحديث: 20240510
DOI: 10.1111/anae.16226
PMID: 38319797
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2044
DOI:10.1111/anae.16226