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Peri-operative management of anti-platelet agents and anti-thrombotic agents in geriatric patients undergoing semi-urgent hip fracture surgery

机译：老年人半紧急髋部骨折手术中抗血小板药和抗血栓药的围手术期处理

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Hip fractures are common events in the geriatric population and are often associated with significant morbidity and mortality. Over the coming decades, the size of the greying population is forecast to increase and hence, the annual incidence of hip fracture is expected to rise substantially. Several studies have shown that hip fracture surgery performed within 24 to 48 h of hospitalisation significantly reduces mortality. Medical specialists including cardiologists are often involved in the care of these geriatric patients as most of them have comorbid conditions that must be managed concomitantly with their fracture. Cardiovascular and thromboembolic complications are among some of the commonest adverse events that could be experienced by these elderly patients during hospitalisation. We review in this article the current recommendations and controversies on the peri-operative management of anti-platelet agents and anti-thrombotic agents in geriatric patients undergoing semi-urgent hip fracture surgery. © 2010 The Author(s).
机译：髋部骨折是老年人群中的常见事件，通常与明显的发病率和死亡率相关。在未来的几十年中，预计老年人口的数量会增加，因此，髋部骨折的年发病率预计会大大增加。几项研究表明，住院治疗后24至48小时内进行的髋部骨折手术可显着降低死亡率。包括心脏病专家在内的医学专家经常参与这些老年患者的护理，因为他们中大多数患有合并症，必须与骨折同时进行治疗。心血管和血栓栓塞并发症是这些老年患者住院期间可能遇到的一些最常见的不良事件。我们在本文中回顾了在接受半紧急髋部骨折手术的老年患者围手术期使用抗血小板药物和抗血栓形成药物的建议和争议。 ©2010作者。

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