Recommendations based on: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines and other recent literature (see Recommended reading).
This application is to be used as a guide only. It cannot be a replacement for profound clinical judgment in each individual case. The developer assumes no liability for the use of this application. Generally, there is a lack of clear guidelines regarding how to handle preexisting anticoagulation and antiaggregation in geriatric patients with an acute fracture; however, local or national guidelines exist in some countries.
This algorithm contains treatment recommendations for geriatric fracture patients with preexisting anticoagulation who need urgent surgery within 24–48 hours (ie, patients with a hip fracture or similar).
The recommendations in this app are not suitable for managing preexisting anticoagulation in case of elective or semiurgent surgery. In that case, refer to the 2012 ACCP or your local guidelines.