P-550: Long term mortality and time to anticoagulation resumption for atrial fibrillation after surgery in hip fracture elderly patients. Preliminary results

摘要

Introduction: Data are scarce about optimal anticoagulation resumption time (ART) in non-elective surgery with high risk of bleeding. Our main objective was to compare 6 months mortality according to ART for atrial fibrillation (AF) after hip fracture repair in a Unit of Peri-Operative Geriatric care (UPOG). Methods: Retrospective study from 2009 to 2018. All patients (> 70 years) with previous history of anticoagulation for AF admitted after hip fracture surgery in UPOG were included. The Early Resumption (ER) group was defined as having an ART below the median of ART and compared with the Late Resumption (LR) group using propensity score analysis for 6-month mortality, blood transfusions requirement, cardiovascular and haemorrhagic outcomes. Results: 177 patients will be completed for EUGMS congress. Preliminary results: 34 patients (mean age 82 ± 6-year-old) were included with a median ART of 5.5 days. Ten patients had a bridging. There were no significant differences between ER (n = 17) and LR (n = 17) groups for 6-month mortality and blood transfusions. Conclusion: We will provide original data about ART for AF and prognosis after hip fracture repair in elderly patients.