From the Journals

Early Hip Fracture Surgery Safe in Patients on DOACs

Multicenter cohort findings indicate that early surgery in patients on direct oral anticoagulants was associated with shorter hospitalization without increased bleeding.

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  • 1

    Study analyzed 875 hip fracture patients aged 70+.

  • 2

    Early surgery (24 hours) shows similar hemoglobin decrease as delayed surgery.

  • 3

    Median hemoglobin decrease: early 0.6 mmol/L, delayed 0.9 mmol/L.

  • 4

    Early surgery linked to shorter hospital stays (6 vs 8 days).

  • 5

    No major differences in transfusion rates or mortality.

  • 6

    Limitations: missing DOAC dose info and comorbidities data.

  • 7

    Study supports safety of early surgery for hip fractures on DOACs.

Original Source(s)

Early Hip Fracture Surgery Safe in Patients on DOACs

Multicenter cohort findings indicate that early surgery in patients on direct oral anticoagulants was associated with shorter hospitalization without increased bleeding.

  • by Julie Greenbaum

  • February 27, 2026

  • 4 min

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