A 67-year-old with an osteoporotic hip fracture asks about timing for surgery. Which is guideline-informed for perioperative antithrombotics?...

Question

A 67-year-old with an osteoporotic hip fracture asks about timing for surgery. Which is guideline-informed for perioperative antithrombotics?

Accepted Answer

Stop apixaban 24-48 h based on bleeding risk and proceed without bridging

Answer

Bridge all patients on DOACs with LMWH

Answer

Continue DOAC for all surgeries

Answer

Switch to IV heparin 3 days before

Answer

Give vitamin K for all patients

Osteoporotic hip fracture — MRCP Part 1 MCQ