Anticoagulant-induced Bleeding, Fall, Head Injury
Conditions
Brief summary
This prospective observational study will examine the incidence of intracranial hemorrhage. The investigators will compare patients on anticoagulant and/or antiplatelet therapy with head trauma compared to patients not on these medications. While many studies have sought to quantify the incidence of intracranial hemorrhage in these patients, there is considerable controversy regarding their care and what to do after an initial negative head CT in anticoagulated geriatric patients who have experienced head trauma.
Interventions
None listed
Sponsors
Florida Atlantic University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients seen in the emergency department for head trauma
Exclusion criteria
Penetrating head trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality of Participants | 60 days | Death of patient from any cause at primary visit or up to 60 days from follow-up |
| Number of Participants with Primary Intracranial Hemorrhage | initial hospital visit | ICH on initial head CT scan |
| Number of Participants with Delayed Intracranial Hemorrhage | 14 days | ICH on repeat CT scan |
| Number of Participants with Hospitalizations at 14 days | 14 days | If patient is admitted for any reason after initial ED visit |
| Number of Participants with 14 Day ED Returns | 14 days | Return visit to ED within 2 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Life alterations | 60 days | Descriptive information from telephone interviews about how patients changed activities after head trauma |
| New interventions since fall | 60 days | Additional therapies or intervention instituted after minor head trauma |
| New Symptoms | 60 days | Any new symptoms |
Countries
United States
Outcome results
None listed