1. Do you treat patients with neck of femur fractures in your Trust? If yes please complete the questions below:
Yes
2. Does your Trust have a protocol for management of patients who sustain neck of femur (NOF) fractures and are taking a Novel Oral Anticoagulant (NOAC)?
Yes
3. May we have a copy of your Trust’s protocol?
Our protocol is as follows,
1 Aspirin - go ahead with op- don’t delay
2. Clopidegrol- go ahead with Op and use GA IF NECESSARY - don’t delay
3. NOACS- Wait for 36 HOURS from last tablet but currently considering change to 24 hours from last tablet for THR AND HEMI. Go ahead with op using GA For DHS AND AO Screws
4. WARFARIN- vit k followed by repeat INR And use bereplex but not to delay surgery unless beriplex is contraindicated/ sudden reversal is not recommended.
4. How many hours does your trust advise should be the time interval between last dose of NOAC and surgical fixation of neck of femur fracture?
36 hours from time of last tablet taken
5. How many patients with neck of femur fractures does your Trust treat per year?
Between 450 - 500 per year
6. How many of the patients who have been treated in the last year for neck of femur fracture were taking a NOAC?
7. What was the average time interval between admission to hospital and time to surgery for patients who were taking NOAC who sustained a neck of femur fracture?
Unfortunately we are unable to provide a response to Q6 and Q7 as this information would require a manual search for each of the patients records. Therefore, in this instance we would be relying on the exemption under Section 12 of the Freedom of Information Act 2000, as collating and providing this information you desire would require more than 18 hours and/or would cost the Trust more than £450.00.