Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement
Methodological detailstwo-round modified Delphi study, literature and guideline review, expert panel from 16 countries, seven clinical specialities
- Two-round modified Delphi study
- Literature and guideline review
- Expert panel from 16 countries, seven clinical specialities
Recommendations
As issued by the authors
Peripheral nerve blocks can reasonably be performed on presentation in hip fracture patients receiving DOACs
Hip fracture surgery can reasonably be performed in patients taking DOACs < 36 h from last dose
GA could reasonably be administered in hip fracture patients taking DOACs < 36 h from last dose (assuming eGFR > 60)
Generally reasonable to consider recommencing DOACs (considering blood loss and haemoglobin) < 48 h after hip fracture surgery
No consensus on timing of spinal anaesthesia
Original publication
Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement. Anaesthesia. Published 6 February 2024. doi:10.
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