The Medical Consultant's Role in Caring for Patients with Hip Fracture

Abstract

Letters5 January 1999The Medical Consultant's Role in Caring for Patients with Hip FractureR. Sean Morrison, MD, Mark R. Chassin, MD, MPP, MPH, and Albert L. Siu, MD, MSPHR. Sean Morrison, MDSearch for more papers by this author, Mark R. Chassin, MDSearch for more papers by this author, MPP, MPHSearch for more papers by this author, and Albert L. Siu, MD, MSPHSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-1-199901050-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Zaveri that on the basis of just the one study by Haentjens (1), weight-adjusted low-molecular-weight heparin does not seem to significantly reduce the incidence of thromboembolic events compared with fixed-dose low-molecular-weight heparin. Only the latter was used in the nine studies that we reviewed. The question about the timing of administration and duration of thromboembolic prophylaxis has yet to be answered satisfactorily. In the studies that we reviewed, therapy with most agents was started on hospital admission. Noble and colleagues' review (2) focuses only on patients undergoing joint replacement. Thus, it is questionable whether ...