Rates of Intracranial Hemorrhage in Mild Head Trauma Patients Presenting to Emergency Department and Their Management: A Comparison of Direct Oral Anticoagulant Drugs with Vitamin K Antagonists.

Conclusions: Patients with mild head trauma on DOAC therapy had a similar prevalence of ICH to that of the control group. Meanwhile, patients on VKA therapy had about twice the ICH prevalence than that on the control group or patients on DOAC, which remained after correcting for age. No significant difference in the need for surgery was determined; however, this result must take into account the very small number of patients needing surgery. PMID: 32585829 [PubMed - in process]
Source: Medicina (Kaunas) - Category: Universities & Medical Training Authors: Tags: Medicina (Kaunas) Source Type: research

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ConclusionPatients with reactive pupils and/or mild to moderate GCS may have benefited from TXA in the CRASH-3 trial because they had less intracranial bleeding at baseline. However, because bleeding occurs soon after injury, treatment delay reduces the benefit of TXA.
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research
Over 90% of patients with head trauma seen in emergency departments (EDs) are diagnosed with minor head injuries. Over-utilisation of CT scans results in unnecessary exposure to radiation and increases healthcare utilisation. Using recommendations from the...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Quanterix has reached another step in its goal to advance a blood-based test to detect concussions in athletes. The Billerica, MA-based company said researchers have successfully applied the Single Molecule Array (Simoa) technology to generate data on the value of blood biomarkers as research tools to study pathophysiological mechanisms of concussion and as potential clinical tools and objective indicators for sports-related concussions (SRCs) and mild traumatic brain injuries (mTBIs). Results have been published in JAMA Network Open, demonstrate the promise of blood biomarkers to serve as clinical tools for objectively id...
Source: MDDI - Category: Medical Devices Authors: Tags: Business Source Type: news
Conclusion: There is a wide heterogeneity of postoperative cerebral hemodynamic findings among TBI patients who underwent DC, including hemodynamic heterogeneity between their cerebral hemispheres. DC was proved to be effective for the treatment of cerebral oligoemia. Our data support the concept of heterogeneous nature of the pathophysiology of the TBI and suggest that DC as the sole treatment modality is insufficient. Introduction Decompressive craniectomy (DC) may effectively decrease intracranial pressure (ICP) and increase cerebral perfusion pressure (CPP) in traumatic brain injury (TBI) patients with refracto...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Conclusion: There is a wide heterogeneity of postoperative cerebral hemodynamic findings among TBI patients who underwent DC, including hemodynamic heterogeneity between their cerebral hemispheres. DC was proved to be effective for the treatment of cerebral oligoemia. Our data support the concept of heterogeneous nature of the pathophysiology of the TBI and suggest that DC as the sole treatment modality is insufficient. Introduction Decompressive craniectomy (DC) may effectively decrease intracranial pressure (ICP) and increase cerebral perfusion pressure (CPP) in traumatic brain injury (TBI) patients with refracto...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Certain patients who experience mild traumatic brain injury (mTBI) may be at especially increased risk for developing posttraumatic stress disorder (PTSD) or major depressive disorder (MDD) following injury, according to astudy published this week inJAMA Psychiatry.“We observed that having an antecedent mental health problem prior to TBI [traumatic brain injury] was an exceptionally strong risk factor for having PTSD or MDD postinjury,” wrote author Murray B. Stein, M.D., M.P.H., of the University of California, San Diego and colleagues. “[T]his finding underscores the importance of clinicians being aware...
Source: Psychiatr News - Category: Psychiatry Tags: assault brain emergency department injury intervention JAMA Psychiatry mental health status mTBI Murray Stein surveillance violence Source Type: research
We present a rare case of a 63-year-old male who developed pituitary apoplexy (PA) after sustaining a closed head injury from assault with a metal pole. The patient had a known pituitary tumor for which he had previously declined surgical resection. On initial CT scan, there was no traumatic intracerebral hemorrhage or subarachnoid hemorrhage. There was sellar expansion but no obvious sellar hemorrhage. Within 48 hours of admission the patient was presumed septic after developing altered mental status, fevers, hypotension and tachycardia.
Source: World Neurosurgery - Category: Neurosurgery Authors: Tags: Case Report Source Type: research
This study ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
BACKGROUND: Globally, road traffic accidents are a major cause of death and disability. The developing countries bear a disproportionately large share of the RTAs which account for about 85% of the deaths. Most of these RTAs result in head injury, which gl...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Publication date: Available online 25 May 2017 Source:Pediatria Polska Author(s): Paulina Urban, Piotr Chądzyński, Kamila Saramak, Sergiusz Jóźwiak Head injuries in children are a common cause of consultation in emergency department. Glasgow Coma Scale (GSC) and, in case of infants, modified Glasgow Coma Scale are widely used for the evaluation of symptoms severity and divide head trauma into mild, moderate and severe. Guidelines concerning preliminary approach to mild head injury are based on the risk factors of intracranial injury. Risk of injury assessment criteria proposed by Polish Association of Paediatric...
Source: Pediatria Polska - Category: Pediatrics Source Type: research
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