Delayed intracranial hemorrhage in elderly anticoagulated patients sustaining a minor fall

BMC Emergency Medicine
Nolan MannRichard L George

Abstract

Falls are a common cause of hospitalization, morbidity, and mortality among the elderly in the United States. Evidence-based imaging recommendations for evaluation of delayed intracranial hemorrhage (DICH) are not generally agreed upon. The purpose of this project was to evaluate the incidence of DICH detected by head computer tomography (CT) among an elderly population on pre-injury anticoagulant or antiplatelet (ACAP) therapy. Data from a Level 1 Trauma Center trauma registry was used to assess the incidence of DICH in an elderly population of patients (≥65 years) who sustained a minor fall while on pre-injury ACAP medications. Counts and percentages are reported. Data on 1076 elderly trauma patients were downloaded, of which 838 sustained a minor fall and 513 were found to be using a pre-injury ACAP medication. One patient (0.46%) with a DICH was identified out of 218 patients who received a routine repeat head CT. Aspirin and warfarin were the most common pre-injury ACAP medications and 19.27% (42/218) of patients were found to be using multiple ACAP medications. Universal screening protocols promote immediate-term patient safety, but do so at a great expense with respect to health expenditures and increased radiation expos...Continue Reading

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Citations

Jun 19, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Renata Sofia Ferreira MarquesNuno Sousa
Apr 26, 2020·The Journal of Trauma and Acute Care Surgery·Caitlin M CohanGregory P Victorino
Oct 14, 2020·The Journal of Trauma and Acute Care Surgery·Xin Tian LimShahab Hajibandeh
Jan 14, 2020·The Journal of Surgical Research·Caitlin M CohanGregory P Victorino
Dec 10, 2020·Trauma Surgery & Acute Care Open·Scott M AlterPatrick G Hughes
Mar 27, 2021·Journal of the American College of Surgeons·Thaddeus J PuzioJohn A Harvin
Jun 28, 2021·The Journal of Emergency Medicine·Hisham ValiuddinDaniel Keyes
Jul 25, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Michael EichingerGeorge Peck
Aug 25, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Giorgio ColomboGiorgio Costantino

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