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Management of Warfarin Anticoagulation in Patients with Fractured Neck of Femur
المؤلفون المشاركون
Mangwani, Jitendra
Patel, Akash
al-Jundi, Wissam
Ashouri, Feras
المصدر
العدد
المجلد 2011، العدد 2011 (31 ديسمبر/كانون الأول 2011)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2011-02-24
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Most orthopaedic units do not have a policy for reversal of anticoagulation in patients with hip fractures.
The aim of this study was to examine the current practice in a district general hospital and determine difference in the time to surgery, if any, with cessation of warfarin versus cessation and treatment with vitamin K.
Methods.
A retrospective review of the case notes between January 2005 and December 2008 identified 1797 patients with fracture neck of femur.
Fifty seven (3.2%) patients were on warfarin at the time of admission.
Patients were divided into 2 groups (A and B).
Group A patients (16/57; 28%) were treated with cessation of warfarin only and group B patients (41; 72%) received pharmacological therapy in addition to stopping warfarin.
Time to surgery between the two groups was compared.
Results.
The mean INR on admission was 2.9 (range 1.7–6.5) and prior to surgery 1.4 (range 1.0–2.1).
Thirty eight patients received vitamin K only and 3 patients received fresh frozen plasma and vitamin K.
The average time to surgery was 4.4 days in group A and 2.4 days in group B.
The difference was statistically significant (P<.01).
Conclusion.
Reversal of high INR is important to avoid significant delay in surgery.
There is a need for a national policy for reversing warfarin anticoagulation in patients with hip fractures requiring surgery.
Vitamin K is safe and effective for anticoagulation reversal in hip fracture patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ashouri, Feras& al-Jundi, Wissam& Patel, Akash& Mangwani, Jitendra. 2011. Management of Warfarin Anticoagulation in Patients with Fractured Neck of Femur. ISRN Hematology،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-461152
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ashouri, Feras…[et al.]. Management of Warfarin Anticoagulation in Patients with Fractured Neck of Femur. ISRN Hematology No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-461152
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ashouri, Feras& al-Jundi, Wissam& Patel, Akash& Mangwani, Jitendra. Management of Warfarin Anticoagulation in Patients with Fractured Neck of Femur. ISRN Hematology. 2011. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-461152
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-461152
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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