Anticoagulants; Circulating, Hemorrhagic Disorder, Femoral Neck Fractures
Conditions
Keywords
older patients, anticoagulant, femoral neck fractures, clinical pharmacy service
Brief summary
Pilot study to evaluate the management of curative anticoagulant prescriptions pre- and postoperatively in elderly patients hospitalized for femoral neck fracture.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient 75 years or older * Hospitalized in the geriatric perioperative unit for a femoral neck fracture between 18/11/2019 and 30/06/2021 * Treated with a curative anticoagulant at entry * Patient enrolled in or receiving a social security plan
Exclusion criteria
* Orthopedic patient housed in the geriatric perioperative unit * Patient who objected to the use of their data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of compliance with the recommendations for direct oral anticoagulants (DOAC).. | Day 0 | Rate of compliance with the french working group on perioperative haemostasis (GIHP) recommendations for DOACrecommendations for DOA. |
| Rate of compliance with the recommendations for vitamin K antagonists (VKA). | Day 0 | Rate of compliance with the french health authority (HAS) recommendations for VKA |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of pharmaceutical interventions | Day 0 | Number of pharmaceutical interventions regarding anticoagulant prescriptions |
| description of pharmaceutical interventions | Day 0 | description of pharmaceutical interventions |
| Evaluation of the morbi-mortality | Day 0 | Mortality, re-hospitalizations at 30 days, characterization of bleeding complications, characterization of thrombotic complications |
| Description of the evolution of the plasma dosage of DOAC and the international normalized ratio (INR) and analysis of the operative delay | Day 0 | Value of preoperative DOAC plasma dosage, value of INR dosage pre- and post-op, analysis of the operative delay |
| description of the population | Day 0 | age, weight, height, body mass index, comorbidities |
Countries
France