@article{ref1,
title="Clinically significant traumatic intracranial hemorrhage following minor head trauma in older adults: a retrospective cohort study",
journal="Brain injury",
year="2020",
author="O'Brien, Toby and Mitra, Biswadev and Le Sage, Natalie and Tardif, Pier-Alexandre and Emond, Marcel and D'Astous, Myreille and Mercier, Eric",
volume="ePub",
number="ePub",
pages="1-6",
abstract="<b>Objectives</b>: The primary objective of this study was to determine the incidence of clinically significant traumatic intracranial hemorrhage (T-ICH) following minor head trauma in older adults. Secondary objective was to investigate the impact of anticoagulant and antiplatelet therapies on T-ICH incidence.<b>Methods</b>: This retrospective cohort study extracted data from electronic patient records. The cohort consisted of patients presenting after a fall and/or head injury and presented to one of five ED between 1st March 2010 and 31st July 2017. Inclusion criteria were age ≥ 65 years old and a minor head trauma defined as an impact to the head without fulfilling criteria for traumatic brain injury.<b>Results</b>: From the 1,000 electronic medical records evaluated, 311 cases were included. The mean age was 80.1 (SD 7.9) years. One hundred and eighty-nine (189) patients (60.8%) were on an anticoagulant (n = 69), antiplatelet (n = 130) or both (n = 16). Twenty patients (6.4%) developed a clinically significant T-ICH. Anticoagulation and/or antiplatelets therapies were not associated with an increased risk of clinically significant T-ICH in this cohort (Odds ratio (OR) 2.7, 95% CI 0.9-8.3).<b>Conclusions</b>: In this cohort of older adults presenting to the ED following minor head trauma, the incidence of clinically significant T-ICH was 6.4%.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2020.1753242",
url="http://dx.doi.org/10.1080/02699052.2020.1753242"
}