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
European Journal of Trauma and Emergency Surgery – Springer Journals
Published: Apr 24, 2017
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