Determining a preoperative international normalised ratio threshold safe for hip fracture surgery.
Kevin L MekkawyYash P ChaudhryJohn G MawnAoife MacMahonJulius K OniRobert S SterlingRachel B SotskyHarpal S KhanujaPublished in: Hip international : the journal of clinical and experimental research on hip pathology and therapy (2023)
We found that an INR of <1.6 is a safe value for patients who are to undergo surgery for a hip fracture. Below this value, patients avoid an increased risk of both transfusion and 30-day mortality seen with higher INR values. These findings may allow adjustment of preoperative protocols and improve the outcome of hip fracture surgery in this group of patients.