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Table 1 Patient demographic and clinical characteristics

From: Propensity matched analysis examining the effect of passive reversal of direct oral anticoagulants on blood loss and the need for transfusions among traumatic geriatric hip fractures

 

Prior to matching (n = 91)

Matched (n = 62)

 

Not reversed (n = 40)

Reversed (n = 51)

P

Not Reversed (N = 31)

Reversed (N = 31)

P

Age*

81 (8)

82 (8)

 < 0.01

81 (8)

81 (8)

0.96

Sex, % female (n)

30% (12)

47% (24)

0.10

65% (20)

81% (25)

0.33

Race, % white (n)

98% (39)

100% (51)

0.44

97% (30)

100% (31)

 > 0.99

Prior fracture

3% (1)

16% (8)

0.07

3% (1)

13% (4)

0.25

Walking independent preinjury, % (n)

63% (25)

55% (28)

0.39

58% (18)

45% (14)

0.31

Comorbidities

 CHF

10% (4)

29% (15)

0.02

13% (4)

13% (4)

 > 0.99

 Dementia

5% (2)

22% (11)

0.03

6% (2)

6% (2)

 > 0.99

 COPD

3% (1)

20% (10)

0.02

3% (1)

13% (4)

0.38

 Diabetes

13% (5)

27% (14)

0.08

19% (6)

23% (7)

0.73

 CVA

3% (1)

14% (7)

0.07

3% (1)

13% (4)

0.38

 Hypertension

63% (25)

69% (35)

0.66

68% (21)

65% (20)

 > 0.99

 CAD

3% (1)

0% (0)

0.44

3% (1)

0% (0)

 > 0.99

 Smoker

5% (2)

6% (3)

 > 0.99

6% (2)

6% (2)

 > 0.99

 Comorbidity count

2 (1)

3 (2)

 < 0.01

2 (1)

2 (1)

0.62

Pre-injury medications

 Beta blocker

35% (14)

59% (30)

0.03

32% (10)

61% (19)

0.03

 Analgesic

28% (11)

24% (12)

0.81

19% (6)

23% (7)

 > 0.99

 Narcotic

23% (9)

27% (14)

0.63

26% (8)

26% (8)

 > 0.99

 Antibiotic

5% (2)

12% (6)

0.46

3% (1)

6% (2)

 > 0.99

 Steroid

18% (7)

24% (12)

0.48

19% (6)

26% (8)

0.75

 Calcium

13% (5)

8% (4)

0.50

10% (3)

6% (2)

 > 0.99

Pre-injury DOAC medication

 Rivaroxaban

65% (26)

47% (24)

0.09

61% (19)

48% (15)

0.48

 Apixaban

33% (13)

39% (20)

0.66

35% (11)

42% (13)

0.79

 Dabigatran

3% (1)

12% (6)

0.13

3% (1)

6% (2)

 > 0.99

 Edoxaban

0% (0)

2% (1)

 > 0.99

0% (0)

3% (1)

 > 0.99

DOAC indication

 Atrial fibrillation

68% (27)

78% (40)

0.34

68% (21)

81% (25)

0.42

 CAD

13% (5)

10% (5)

0.74

13% (4)

6% (2)

0.69

 DVT or PE

15% (6)

12% (6)

0.76

13% (4)

13% (4)

 > 0.99

 Stroke or CVA

8% (3)

8% (4)

 > 0.99

6% (2)

6% (2)

 > 0.99

Fracture type

 Femoral neck

63% (25)

57% (29)

0.57

58% (18)

58% (18)

 > 0.99

 Intertrochanteric

38% (15)

39% (20)

0.87

42% (13)

39% (12)

 > 0.99

 Subtrochanteric

0% (0)

4% (2)

0.50

0% (0)

3% (1)

 > 0.99

Surgical procedurea

 Intramedullary fixation

45% (18)

43% (22)

 > 0.99

55% (17)

35% (11)

0.21

 Hemiarthroplasty

25% (10)

31% (16)

0.64

26% (8)

32% (10)

0.77

 Internal fixation

18% (7)

25% (13)

0.45

13% (4)

29% (9)

0.18

 Bipolar hemiarthroplasty

20% (8)

8% (4)

0.09

77% (24)

10% (3)

0.34

 Total hip arthroplasty

20% (8)

4% (2)

0.02

13% (4)

6% (2)

0.63

 Individual screw placement

3% (1)

4% (2)

 > 0.99

0% (0)

3% (1)

 > 0.99

Pre-operative hemoglobina

13.4 (2.3)

12.0 (3.2)

 < 0.01

13.5 (2.1)

11.5 (2.8)

0.78

Abnormal CrCl, % (n)

88% (35)

100% (51)

0.01

87% (27)

100% (31)

 > 0.99

Arrival to surgery, hoursa

18 (11)

43 (21)

 < 0.01

18 (12)

43 (22)

 < 0.01

Last dose to surgery, hoursb

21 (16, 23)

55 (37, 71)

 < 0.01

20 (15, 23)

55 (37, 71)

 < 0.01

  1. aMean (SD)
  2. bMedian (IQR)
  3. cSome patients had multiple surgeries
  4. DOAC direct oral anticoagulant, DVT deep vein thrombosis, PE pulmonary embolism, CVA cerebrovascular accident, CAD coronary artery disease, CHF congestive heart failure, COPD chronic obstructive pulmonary disease. Bold values indicate statistical significance at p<0.05