The Impact of Preinjury Antiplatelet and Anticoagulant Use on Elderly Patients with Moderate or Severe Traumatic Brain Injury Following Traumatic Acute Subdural Hematoma.

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Abstract

Although it is often assumed that preinjury anticoagulant (AC) or antiplatelet (AP) use is associated with poorer outcomes among those with acute subdural hematoma (aSDH), previous studies have had varied results. This study examines the impact of preinjury AC and AP therapy on aSDH thickness, 30-day mortality, and extended Glasgow Outcome Scale at 6 months in elderly patients (aged ≥65).

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Journal

Journal ID (iso-abbrev): World Neurosurg

Title: World neurosurgery

Publisher: Elsevier BV

ISSN (Electronic): 1878-8769

ISSN (Print): 1878-8750

Publication date (Electronic): Oct 2022

Volume: 166

Affiliations

[1 ] National Trauma Research Institute (NTRI), Melbourne, Australia; The University of Notre Dame, School of Medicine, Sydney, Australia. Electronic address: rbodonohoe@gmail.com.

[2 ] National Trauma Research Institute (NTRI), Melbourne, Australia; Department of Neurosurgery, Alfred Health, Melbourne, Australia.

[3 ] National Trauma Research Institute (NTRI), Melbourne, Australia.

[4 ] National Trauma Research Institute (NTRI), Melbourne, Australia; Trauma Service, Alfred Health, Melbourne, Australia; Department of Anaesthesia and Perioperative Medicine, Central Clinical School, Monash University, Melbourne, Australia.

[5 ] National Trauma Research Institute (NTRI), Melbourne, Australia; Department of Neurosurgery, Alfred Health, Melbourne, Australia; Department of Surgery, Central Clinical School, Monash University, Melbourne, Australia.

[6 ] National Trauma Research Institute (NTRI), Melbourne, Australia; Trauma Service, Alfred Health, Melbourne, Australia; Emergency & Trauma Centre, The Alfred Hospital, Melbourne, Australia.

Article

Publisher Item ID: S1878-8750(22)00990-1

DOI: 10.1016/j.wneu.2022.07.042

PubMed ID: 35843581

SO-VID: b9a233a1-9a78-4551-b4d4-92a4aedaa18a

History

Keywords: Moderate and severe traumatic brain injury (TBI),Anticoagulant,Acute subdural hematoma,Antiplatelet

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Keywords: Moderate and severe traumatic brain injury (TBI), Anticoagulant, Acute subdural hematoma, Antiplatelet

The Impact of Preinjury Antiplatelet and Anticoagulant Use on Elderly Patients with Moderate or Severe Traumatic Brain Injury Following Traumatic Acute Subdural Hematoma.

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