Do We Need to Repeat the Initially Normal Head Computerized Tomography for Patients with Mild Head Trauma Using Anticoagulant and/or Antiplatelet Therapy?

Yaşar Çatal; Müge Günalp; Sinan Genç; Ahmet Burak Oğuz; Ayça Koca; Onur Polat

Makale detayları

Do We Need to Repeat the Initially Normal Head Computerized Tomography for Patients with Mild Head Trauma Using Anticoagulant and/or Antiplatelet Therapy?

Yazarlar:

Yaşar Çatal | Müge Günalp | Sinan Genç | Ahmet Burak Oğuz | Ayça Koca | Onur Polat

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.15 Issue 1, pp.122-129

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285282

pISSN:

1309-3878

Anahtar kelimeler:

Özet:

 Objective: Patients using anticoagulant andor antiplatelet ACAP 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 ACAP 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 ACAP who had an initially normal head CT. Method: Patients aged 18 and older, using ACAP 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. Result: A total of 101 patients were included and, 57.4 n58 of the patients were female. Delayed ICH was detected in 2.9 n3 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 n1, dabigatran n1, and apixaban n1. Conclusion: In patients with mild head trauma using ACAP, 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 ACAP therapy who had initially normal head CT.

 Objective: Patients using anticoagulant andor antiplatelet ACAP 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 ACAP 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 ACAP who had an initially normal head CT. Method: Patients aged 18 and older, using ACAP 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. Result: A total of 101 patients were included and, 57.4 n58 of the patients were female. Delayed ICH was detected in 2.9 n3 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 n1, dabigatran n1, and apixaban n1. Conclusion: In patients with mild head trauma using ACAP, 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 ACAP therapy who had initially normal head CT.

 Objective: Patients using anticoagulant andor antiplatelet ACAP 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 ACAP 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 ACAP who had an initially normal head CT. Method: Patients aged 18 and older, using ACAP 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. Result: A total of 101 patients were included and, 57.4 n58 of the patients were female. Delayed ICH was detected in 2.9 n3 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 n1, dabigatran n1, and apixaban n1. Conclusion: In patients with mild head trauma using ACAP, 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 ACAP therapy who had initially normal head CT.

 Amaç: Antikoagülan veveya antiplatelet ACAP ilaç kullanan hastalarda kafa travması sonrası intrakraniyal kanama İKK riski yüksektir ve güncel kılavuzlar bu hastalar için bilgisayarlı kafa tomografisi BT görüntülemesini önermektedir. Başlangıçta normal kafa BTsi olan ve ACAP ilaçları kullanan hafif kafa travmalı hastalar için yönetim önerileri konusunda fikir birliği yoktur. Bu çalışmanın amacı, başlangıçta normal kafa BTsi olan ve ACAP kullanan hafif kafa travmalı hastalarda 24 saatlik bir gözlem sonrasında gecikmiş İKK oranını belirlemektir. Metod: ACAP ilaç kullanan, 18 yaş ve üzeri hafif kafa travmalı hastalar prospektif olarak çalışmaya alındı. Hastalara kanama şüphesi nedeniyle kafa BTsi çekildi. Çekilen ilk kafa BTsi normal olan hastalara gecikmiş intrakraniyal kanamayı saptamak için 24 saatlik gözlem süresi sonrasında tekrar kafa BT görüntülemesi yapıldı. Bulgular: Toplam 101 hasta çalışmaya dahil edildi ve hastaların 57,4ü n58 kadındı. 24 saatlik gözlem sonrasında hastaların 2,9unda n3 gecikmiş İKK saptandı. Gecikmiş İKKli hastaların hiçbirinde cerrahi tedavi veya başka girişim gerekmedi. Gecikmiş İKK, asetilsalisilik asit n1, dabigatran n1 ve apiksaban n1 kullanan hastalarda saptandı. Sonuç: ACAP kullanan hafif kafa travmalı hastalarda gecikmiş İKK nadirdir ve klinik olarak önemli olmayabilir. Başlangıçta kafa BTsi normal olan, ACAP ilaç kullanan hafif kafa travması olan hastalarda 24 saatlik gözlemden sonra kafa BT görüntülemesinin tekrarı gerekli olmayabilir.

Makale detayları

Do We Need to Repeat the Initially Normal Head Computerized Tomography for Patients with Mild Head Trauma Using Anticoagulant and/or Antiplatelet Therapy?

Yazarlar:

Yaşar Çatal | Müge Günalp | Sinan Genç | Ahmet Burak Oğuz | Ayça Koca | Onur Polat

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.15 Issue 1, pp.122-129

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285282

pISSN:

1309-3878

Anticoagulant drugs

antiplatelet drugs

head trauma

intracranial hemorrhage

Antikoagülan ilaçlar

antiplatelet ilaçlar

kafa travması

intrakraniyal kanama

Sayı

Makale detayları

Yazarlar: Yaşar Çatal | Müge Günalp | Sinan Genç | Ahmet Burak Oğuz | Ayça Koca | Onur Polat

Yayıncı: Duzce University

Ana Başlıklar: Health Care Administration

Dergi: Konuralp Medical Journal Vol.15 Issue 1, pp.122-129

Belge Tipi: Makale

Yayın Tarihi: 3/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001285282

pISSN: 1309-3878

Sayı

Yazarlar:

Yaşar Çatal | Müge Günalp | Sinan Genç | Ahmet Burak Oğuz | Ayça Koca | Onur Polat

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.15 Issue 1, pp.122-129

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001285282

pISSN:

1309-3878