Low risk of late intracranial complications in mild traumatic brain injury patients using oral anticoagulation after an initial normal brain computed tomography scan: Education instead of hospitalization

European Journal of Neurology

Volumn 21, Issue 7, 2014, Pages 1021-1025

  Schoonman, G G ^a,b   Bakker, D P ^b   Jellema, K ^b  

^a CPRLab   (Netherlands)

^b MEDICAL CENTER HAAGLANDEN   (Netherlands)

Author keywords

Brain; Human; Injury; Intracranial; Oral anticoagulation; Trauma

Indexed keywords

ACENOCOUMAROL; PHENPROCOUMON; ANTICOAGULANT AGENT;

AGED; ANTICOAGULANT THERAPY; ARTICLE; BRAIN HEMORRHAGE; CLINICAL OBSERVATION; COMPUTER ASSISTED TOMOGRAPHY; EMERGENCY WARD; FEMALE; GENERAL CONDITION DETERIORATION; HOSPITALIZATION; HUMAN; INCIDENCE; INTERNATIONAL NORMALIZED RATIO; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; NEUROIMAGING; PATIENT EDUCATION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK FACTOR; SUBARACHNOID HEMORRHAGE; SUBDURAL HEMATOMA; TRAUMATIC BRAIN INJURY; TREATMENT DURATION; BRAIN INJURIES; CHEMICALLY INDUCED; COHORT ANALYSIS; HOSPITAL DISCHARGE; MIDDLE AGED; RADIOGRAPHY; STANDARDS; VERY ELDERLY;

AGED; AGED, 80 AND OVER; ANTICOAGULANTS; BRAIN INJURIES; COHORT STUDIES; FEMALE; HUMANS; INTRACRANIAL HEMORRHAGES; MALE; MIDDLE AGED; PATIENT DISCHARGE; PATIENT EDUCATION AS TOPIC;

EID: 84902270846     PISSN: 13515101     EISSN: 14681331     Source Type: Journal    
DOI: 10.1111/ene.12429     Document Type: Article

References (16)

1. Cassidy JD, Carroll L, Peloso P, et al. Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO collaborating centre task force on mild traumatic brain injury. J Rehabil Med 2004; 36: 28-60.
2. af Geijerstam J-L, Oredsson S, Britton M Medical outcome after immediate computed tomography or admission for observation in patients with mild head injury: randomised controlled trial. BMJ (Clinical Research ed) 2006; 333: 465.
3. Pieracci FM, Eachempati SR, Shou J, et al. Degree of anticoagulation, but not warfarin use itself, predicts adverse outcomes after traumatic brain injury in elderly trauma patients. J Trauma 2007; 63: 525-530.
4. Parmar KA, Rao S, Zub-Zidan FM. Head injuries in warfarinised patients. Singapore Med J 2006; 47: 676-678.
5. Cohen DB, Rinker C, Wilberger JE. Traumatic brain injury in anticoagulated patients. J Trauma 2006; 60: 553-557.
6. af Geijerstam J-L, Britton MMild head injury: reliability of early computed tomographic findings in triage for admission. Emerg Med J 2005; 22: 103-107.
7. De Boussard CN, Bellocco R, af Geijerstam J-L, et al. Delayed intracranial complications after concussion. J Trauma 2006; 61: 577-581.
8. Itshayek E, Rosenthal G, Fraifeld S, et al. Delayed posttraumatic acute subdural hematoma in elderly patients on anticoagulation. Neurosurgery 2006; 58: E851-E856.
9. Engelen M, Nederkoorn PJ, Smits M, et al. Delayed life-threatening subdural hematoma after minor head injury in a patient with severe coagulopathy: a case report. Cases J 2009; 2: 7587.
10. Menditto VG, Lucci M, Polonara S, et al. Management of minor head injury in patients receiving oral anticoagulant therapy: a prospective study of a 24-hour observation protocol. Ann Emerg Med 2012; 59: 451-455.
11. Kaen A, Jimenez-Roldan L, Arrese I, et al. The value of sequential computed tomography scanning in anticoagulated patients suffering from minor head injury. J Trauma 2010; 68: 895-898.
12. Tauber M, Koller H, Moroder P, Hitzel W, Resch H. Secondary intracranial hemorrhage after mild head injury in patients with low-dose acetylsalicylate acid prophylaxis. J Trauma 2009; 67: 521-525.
13. Vos PE, Alekseenko Y, Battistin L, et al. Mild traumatic brain injury. Eur J Neurol 2012; 19: 191-198.
14. Reed D. Initial Management of Closed Head Injury in Adults, 2nd edn. Australian Guideline. Available at: http://www.itim.nsw.gov.au/images/3/3d/Closed_Head_Injury_CPG 2nd_Ed_Full_document.pdf (accessed 09/2011).
15. Erly WK, Ashdown BC, Lucio RW, et al. Evaluation of emergency CT scans of the head: is there a community standard? AJR Am J Roentgenol 2003; 180: 1727-1730.
16. McCarthy DM, Engel KG, Buckley BA, et al. Emergency department discharge instructions: lessons learned through developing new patient education materials. Emerg Med Int 2012; 2012: 306859.