The role of delayed head CT in evaluation of elderly blunt head trauma victims taking antithrombotic therapy

The role of delayed head CT in evaluation of elderly blunt head trauma victims taking... Eur J Trauma Emerg Surg (2017) 43:741–746 https://doi.org/10.1007/s00068-017-0793-7 ORIGINAL ARTICLE The role of delayed head CT in evaluation of elderly blunt head trauma victims taking antithrombotic therapy 1 1 1 1 1 2 D. Scantling · C. Fischer · R. Gruner · A. Teichman · B. McCracken · J. Eakins Received: 3 January 2017 / Accepted: 18 April 2017 / Published online: 24 April 2017 © Springer-Verlag Berlin Heidelberg 2017 Abstract two patients (0.85%, 95% CI 0.1–3.1%) had new ICH dis- Introduction Increasing active longevity has created an covered on D-CTH. None of the patients on warfarin dem- increasing surge of elderly trauma patients. The major- onstrated any new injury on D-CTH (95% CI ≤ 4.6%). ity of these patients suffer blunt trauma and many are tak- Only one patient taking aspirin as a sole agent had a ing antithrombotic agents. The literature is mixed regard- delayed injury on D-CTH (1.1%, 95% CI 0–4.2%). The ing the utility of routine repeat head CT in patients taking remaining patient was taking a combination of aspirin and antithrombotic medications with a GCS of 15 and initial clopidogrel representing 2.2% of 45 patients on combina- negative head CT. We hypothesized that scheduled http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Trauma and Emergency Surgery Springer Journals

The role of delayed head CT in evaluation of elderly blunt head trauma victims taking antithrombotic therapy

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Traumatic Surgery; Surgical Orthopedics; Emergency Medicine; Sports Medicine; Intensive / Critical Care Medicine; Surgery
ISSN
1863-9933
eISSN
1863-9941
D.O.I.
10.1007/s00068-017-0793-7
Publisher site
See Article on Publisher Site

Abstract

Eur J Trauma Emerg Surg (2017) 43:741–746 https://doi.org/10.1007/s00068-017-0793-7 ORIGINAL ARTICLE The role of delayed head CT in evaluation of elderly blunt head trauma victims taking antithrombotic therapy 1 1 1 1 1 2 D. Scantling · C. Fischer · R. Gruner · A. Teichman · B. McCracken · J. Eakins Received: 3 January 2017 / Accepted: 18 April 2017 / Published online: 24 April 2017 © Springer-Verlag Berlin Heidelberg 2017 Abstract two patients (0.85%, 95% CI 0.1–3.1%) had new ICH dis- Introduction Increasing active longevity has created an covered on D-CTH. None of the patients on warfarin dem- increasing surge of elderly trauma patients. The major- onstrated any new injury on D-CTH (95% CI ≤ 4.6%). ity of these patients suffer blunt trauma and many are tak- Only one patient taking aspirin as a sole agent had a ing antithrombotic agents. The literature is mixed regard- delayed injury on D-CTH (1.1%, 95% CI 0–4.2%). The ing the utility of routine repeat head CT in patients taking remaining patient was taking a combination of aspirin and antithrombotic medications with a GCS of 15 and initial clopidogrel representing 2.2% of 45 patients on combina- negative head CT. We hypothesized that scheduled

Journal

European Journal of Trauma and Emergency SurgerySpringer Journals

Published: Apr 24, 2017

References

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