A 70-year-old woman with atrial fibrillation and hypertension presents after a fall with a displaced intertrochanteric hip fracture. She is on apixaba...

Question

A 70-year-old woman with atrial fibrillation and hypertension presents after a fall with a displaced intertrochanteric hip fracture. She is on apixaban. According to Australian peri-operative guidance, what is the most appropriate management of her anticoagulant to allow timely surgery?

Accepted Answer

Withhold apixaban and aim to proceed to surgery after 24-48 hours, considering reversal only if urgent

Answer

Delay surgery for 7 days after stopping apixaban

Answer

Proceed to surgery immediately without adjusting apixaban

Answer

Switch from apixaban to warfarin before surgery

Answer

Administer vitamin K to reverse apixaban

au-amc MCQ (SBA): Peri-operative management of DOAC in hip fracture

A 70-year-old woman with atrial fibrillation and hypertension presents after a fall with a displaced intertrochanteric hip fracture. She is on apixaban. According to Australian peri-operative guidance, what is the most appropriate management of her anticoagulant to allow timely surgery?