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      The impact of oral anticoagulation on time to surgery in patients hospitalized with hip fracture.

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          Abstract

          Current clinical guidelines recommend expedited repair of hip fracture to reduce morbidity and mortality. A significant number of hip fracture patients have concomitant cardiovascular disease requiring anticoagulation. Vitamin K antagonists (VKAs), which have been traditionally used, might be associated with an increased time to surgery (TTS) and it remains unknown what effect direct oral anticoagulants (DOACs) have on this metric. Our objective is to determine how anticoagulation with a VKA or DOAC affects TTS.

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          Author and article information

          Journal
          Thromb. Res.
          Thrombosis research
          Elsevier BV
          1879-2472
          0049-3848
          Nov 2015
          : 136
          : 5
          Affiliations
          [1 ] Department of Medicine, University of Ottawa at The Ottawa Hospital, 501 Smyth Road, Box 201A, Ottawa, Ontario K1H 8L6, Canada. Electronic address: ttran@toh.on.ca.
          [2 ] Département de Médecine Interne, Brest University Hospital, EA3878, bd Tanguy Prigent, 29609 Brest Cedex Brest, France. Electronic address: aurelien.delluc@chu-brest.fr.
          [3 ] The Ottawa Hospital Research Institute, 725 Parkdale Avenue, Ottawa, Ontario K1Y 4E9, Canada. Electronic address: cdewit@toh.on.ca.
          [4 ] The Ottawa Hospital Research Institute, 725 Parkdale Avenue, Ottawa, Ontario K1Y 4E9, Canada. Electronic address: wpetrcich@ohri.ca.
          [5 ] Department of Medicine, University of Ottawa at The Ottawa Hospital, 501 Smyth Road, Box 201A, Ottawa, Ontario K1H 8L6, Canada; Département de Médecine Interne, Brest University Hospital, EA3878, bd Tanguy Prigent, 29609 Brest Cedex Brest, France; The Ottawa Hospital Research Institute, 725 Parkdale Avenue, Ottawa, Ontario K1Y 4E9, Canada. Electronic address: glegal@toh.on.ca.
          [6 ] Department of Medicine, University of Ottawa at The Ottawa Hospital, 501 Smyth Road, Box 201A, Ottawa, Ontario K1H 8L6, Canada; The Ottawa Hospital Research Institute, 725 Parkdale Avenue, Ottawa, Ontario K1Y 4E9, Canada. Electronic address: mcarrier@toh.on.ca.
          Article
          S0049-3848(15)30128-6
          10.1016/j.thromres.2015.09.017
          26428416
          3ec1e5bc-5d86-4097-994d-d1c974d071c8

          Anticoagulants,Arthroplasty,Hip fractures,Surgery,Warfarin
          Anticoagulants, Arthroplasty, Hip fractures, Surgery, Warfarin

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