Outcomes in Traumatic Brain Injury Patients on Preinjury Anticoagulation and Antiplatelet Agents

Ba, H.; Thakkar, M K; Jallo, Md

doi:10.29046/jhnj.008.1.002

Cited by 1 publication

(2 citation statements)

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“…Numerous of these patients are undergoing anticoagulation therapy and are also at high risk of falls and sustaining injury with possibly serious hemorrhagic complications (2). The main risk of systemic anticoagulation is bleeding, including intracranial hemorrhage, which must be well-adjusted against the recommended chronic anticoagulation for at least the duration of active cancer (3). Clinicians often face a patient with a brain tumor who requires anticoagulation for a deep venous thromboembolism (DVT) or pulmonary embolism (PE) or for cardiac reasons, such as atrial fibrillation or peripheral vascular disease.…”

Section: Introductionmentioning

confidence: 99%

“…Clinicians often face a patient with a brain tumor who requires anticoagulation for a deep venous thromboembolism (DVT) or pulmonary embolism (PE) or for cardiac reasons, such as atrial fibrillation or peripheral vascular disease. (3). Head injury `embodies one of the most important and recurrent traumatic pathology in the emergency department (4).…”

Section: Introductionmentioning

confidence: 99%

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Utilization of anticoagulant and antiplatelet medications among geriatric patients with neurosurgical diseases

Al-Mirza,

Al-Taei,

Al-Saadi

et al. 2022

roneuro

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Aim: To study the utilization patterns of anticoagulant and antiplatelet medications among geriatric patients with neurosurgical conditions in the neurosurgical department at Khoula Hospital, Muscat, Sultanate of Oman. Introduction: Anticoagulant and antiplatelet presumption is a worry in neurosurgical patients, that suggests a subtle balance between the risk of thromboembolism against the risk of peri- and postoperative haemorrhage. Patients taking those medications were found to have an increased risk of bleeding from traumatic and traumatic events. Materials and Methods: A retrospective study of geriatric cases admitted to the Neurosurgery Department in Khoula Hospital (KH) as an example of a neurosurgical center in Sultanate of Oman, from January 2016 to 31st December 2019. Patients demographics, diagnosis, length of hospital stay (LOS), Glasgow Coma Scale (GCS), length of ICU admission, and treatment proposed were recorded. Results: The most common diagnostic category was trauma (35.4%). 16.0 % of the patients were taking anticoagulant medications. Patients with traumatic brain injury (TBI) were found to have a higher rate of using anticoagulant medications (36.6%). There was a significant difference between the LOS, type of intervention, ICU admission, and the usage of anticoagulant and antiplatelet drugs (p<0.05). Enoxaparin was the most commonly used anticoagulant agent. 19.6 % of the patients were taking antiplatelet medications. This study was showed that aspirin is the most commonly used antiplatelet agent among different neurosurgical pathologies. Conclusion: Patients with TBI were found to have a higher rate of using anticoagulant medications. Decisions regarding prescription and resumption of anticoagulants and antiplatelet medications should be taken on a case-by-case basis involves multidisciplinary and holistic approaches.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%