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- Title
Do We Need to Repeat the Initially Normal Head Computerized Tomography for Patients with Mild Head Trauma Using Anticoagulant and/or Antiplatelet Therapy?
- Authors
Catal, Yasar; Gunalp, Muge; Genc, Sinan; Oguz, Ahmet Burak; Koca, Ayca; Polat, Onur
- Abstract
Objective: Patients using anticoagulant and/or antiplatelet (AC/AP) medications are at an increased risk of intracranial hemorrhage (ICH) subsequent to head trauma and current guidelines recommend a head computed tomography (CT) scan for these patients. There is a lack of consensus about management recommendations for mild head trauma patients on AC/AP treatment who had an initially normal head CT. The aim of this study was to determine the rate of delayed ICH after a 24-hour observation in patients with mild head trauma using AC/AP who had an initially normal head CT. Method: Patients aged 18 and older, using AC/AP drugs with mild head trauma were included prospectively. Patients underwent head CT for suspected bleeding. A repeat CT scan was performed after a 24-hours observation period for the patients who had an initially normal head CT for detecting delayed intracranial hemorrhage. Results: A total of 101 patients were included and, 57.4% (n=58) of the patients were female. Delayed ICH was detected in 2.9% (n=3) of the patients after a 24-hour observation. None of the patients with delayed ICH needed surgical treatment or further intervention. Delayed ICH was found in patients who used acetylsalicylic acid (n=1), dabigatran (n=1), and apixaban (n=1). Conclusion: In patients with mild head trauma using AC/AP, delayed intracranial hemorrhage is rare and may be clinically insignificant. A repeat CT scanning after 24-hour observation may not be necessary for patients with mild head trauma using AC/AP therapy who had initially normal head CT.
- Subjects
SCIENTIFIC observation; INTRACRANIAL hemorrhage; CROSS-sectional method; RESEARCH methodology; ANTICOAGULANTS; MANN Whitney U Test; FISHER exact test; T-test (Statistics); PLATELET aggregation inhibitors; DESCRIPTIVE statistics; CHI-squared test; COMPUTED tomography; DATA analysis software; HEAD injuries; LONGITUDINAL method
- Publication
Konuralp Medical Journal / Konuralp Tip Dergisi, 2023, Vol 15, Issue 1, p122
- ISSN
1309-3878
- Publication type
Article
- DOI
10.18521/ktd.1167329