The Incidence of Traumatic Intracranial Hemorrhage in Head-Injured Older Adults Transported by EMS with and without Anticoagulant or Antiplatelet Use
Field triage guidelines recommend transport of head-injured patients on anticoagulants or antiplatelets to a higher-level trauma center based on studies suggesting a high incidence of traumatic intracranial hemorrhage (tICH). We compared the incidence of tICH in older adults transported by emergency...
Gespeichert in:
| Veröffentlicht in: | Journal of neurotrauma 2018-03, Vol.35 (5), p.750-759 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 759 |
|---|---|
| container_issue | 5 |
| container_start_page | 750 |
| container_title | Journal of neurotrauma |
| container_volume | 35 |
| creator | Nishijima, Daniel K Gaona, Samuel D Waechter, Trent Maloney, Ric Blitz, Adam Elms, Andrew R Farrales, Roel D Montoya, James Bair, Troy Howard, Calvin Gilbert, Megan Trajano, Renee P Hatchel, Kaela M Faul, Mark Bell, Jeneita M Coronado, Victor C Vinson, David R Ballard, Dustin W Tancredi, Daniel J Garzon, Hernando Mackey, Kevin E Shahlaie, Kiarash Holmes, James F |
| description | Field triage guidelines recommend transport of head-injured patients on anticoagulants or antiplatelets to a higher-level trauma center based on studies suggesting a high incidence of traumatic intracranial hemorrhage (tICH). We compared the incidence of tICH in older adults transported by emergency medical services (EMS) with and without anticoagulation or antiplatelet use and evaluated the accuracies of different sets of field triage criteria to identify tICH. This was a prospective, observational study at five EMS agencies and 11 hospitals. Older adults (≥55 years) with head trauma and transported by EMS from August 2015 to September 2016 were eligible. EMS providers completed standardized data forms and patients were followed through emergency department (ED) or hospital discharge. We enrolled 1304 patients; 1147 (88%) received a cranial computed tomography (CT) scan and were eligible for analysis. Four hundred thirty-four (33%) patients had anticoagulant or antiplatelet use and 112 (10%) had tICH. The incidence of tICH in patients with (11%, 95% confidence interval [CI] 8%-14%) and without (9%, 95% CI 7%-11%) anticoagulant or antiplatelet use was similar. Anticoagulant or antiplatelet use was not predictive of tICH on adjusted analysis. Steps 1-3 criteria alone were not sensitive in identifying tICH (27%), whereas the addition of anticoagulant or antiplatelet criterion improved sensitivity (63%). Other derived sets of triage criteria were highly sensitive (>98%) but poorly specific ( |
| doi_str_mv | 10.1089/neu.2017.5232 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5831747</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2010453100</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-badd42da9ddf05dafd7dd5610b1d2478f7b9aa66b574ccae76b4333d4a205bd13</originalsourceid><addsrcrecordid>eNpdkc1uEzEUhS0EomlgyRZZYsNmgj22x5kNUlSVNlJRF6Rr647tSSaasYN_QH0Q3hdPWypgZfue7x756CD0jpIVJev2k7N5VRMqV6Jm9Qu0oELIqiW8fokWRZeVpIKeofMYj4RQ1tTyNTqr27LLm3aBfu0OFm-dHox12mLf412APEEadBmnADqAG2DE13byIRxgb_HgygtMtXXHHKzBt6OxAW9MHlOc1108-ZCK0N3jy6_f8M8hHTA483DxOeGNK_Ye9nkEl7APD4PTCMmONuG7aN-gVz2M0b59Opfo7svl7uK6urm92l5sbirNqUhVB8bw2kBrTE-Egd5IY0RDSUdNzeW6l10L0DSdkFxrsLLpOGPMcKiJ6AxlS_T50feUu8kabefEozqFYYJwrzwM6l_FDQe19z-UWDMquSwGH58Mgv-ebUxqGqK2YwlmfY6Ktg1t2Hpd-CX68B969Dm4Ek-V_ggXjBJSqOqR0sHHGGz__BlK1Fy4KoXPC1LNhRf-_d8Jnuk_DbPfmHaqfQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2010453100</pqid></control><display><type>article</type><title>The Incidence of Traumatic Intracranial Hemorrhage in Head-Injured Older Adults Transported by EMS with and without Anticoagulant or Antiplatelet Use</title><source>Alma/SFX Local Collection</source><creator>Nishijima, Daniel K ; Gaona, Samuel D ; Waechter, Trent ; Maloney, Ric ; Blitz, Adam ; Elms, Andrew R ; Farrales, Roel D ; Montoya, James ; Bair, Troy ; Howard, Calvin ; Gilbert, Megan ; Trajano, Renee P ; Hatchel, Kaela M ; Faul, Mark ; Bell, Jeneita M ; Coronado, Victor C ; Vinson, David R ; Ballard, Dustin W ; Tancredi, Daniel J ; Garzon, Hernando ; Mackey, Kevin E ; Shahlaie, Kiarash ; Holmes, James F</creator><creatorcontrib>Nishijima, Daniel K ; Gaona, Samuel D ; Waechter, Trent ; Maloney, Ric ; Blitz, Adam ; Elms, Andrew R ; Farrales, Roel D ; Montoya, James ; Bair, Troy ; Howard, Calvin ; Gilbert, Megan ; Trajano, Renee P ; Hatchel, Kaela M ; Faul, Mark ; Bell, Jeneita M ; Coronado, Victor C ; Vinson, David R ; Ballard, Dustin W ; Tancredi, Daniel J ; Garzon, Hernando ; Mackey, Kevin E ; Shahlaie, Kiarash ; Holmes, James F</creatorcontrib><description>Field triage guidelines recommend transport of head-injured patients on anticoagulants or antiplatelets to a higher-level trauma center based on studies suggesting a high incidence of traumatic intracranial hemorrhage (tICH). We compared the incidence of tICH in older adults transported by emergency medical services (EMS) with and without anticoagulation or antiplatelet use and evaluated the accuracies of different sets of field triage criteria to identify tICH. This was a prospective, observational study at five EMS agencies and 11 hospitals. Older adults (≥55 years) with head trauma and transported by EMS from August 2015 to September 2016 were eligible. EMS providers completed standardized data forms and patients were followed through emergency department (ED) or hospital discharge. We enrolled 1304 patients; 1147 (88%) received a cranial computed tomography (CT) scan and were eligible for analysis. Four hundred thirty-four (33%) patients had anticoagulant or antiplatelet use and 112 (10%) had tICH. The incidence of tICH in patients with (11%, 95% confidence interval [CI] 8%-14%) and without (9%, 95% CI 7%-11%) anticoagulant or antiplatelet use was similar. Anticoagulant or antiplatelet use was not predictive of tICH on adjusted analysis. Steps 1-3 criteria alone were not sensitive in identifying tICH (27%), whereas the addition of anticoagulant or antiplatelet criterion improved sensitivity (63%). Other derived sets of triage criteria were highly sensitive (>98%) but poorly specific (<11%). The incidence of tICH was similar between patients with and without anticoagulant or antiplatelet use. Use of anticoagulant or antiplatelet medications was not a risk factor for tICH. We were unable to identify a set of triage criteria that was accurate for trauma center need.</description><identifier>ISSN: 0897-7151</identifier><identifier>EISSN: 1557-9042</identifier><identifier>DOI: 10.1089/neu.2017.5232</identifier><identifier>PMID: 29108469</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Anticoagulants ; Computed tomography ; Emergency medical care ; Emergency services ; Epidemiology ; Head injuries ; Hemorrhage ; Older people ; Original ; Trauma ; Trauma centers</subject><ispartof>Journal of neurotrauma, 2018-03, Vol.35 (5), p.750-759</ispartof><rights>(©) Copyright 2018, Mary Ann Liebert, Inc.</rights><rights>Copyright 2018, Mary Ann Liebert, Inc. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-badd42da9ddf05dafd7dd5610b1d2478f7b9aa66b574ccae76b4333d4a205bd13</citedby><cites>FETCH-LOGICAL-c415t-badd42da9ddf05dafd7dd5610b1d2478f7b9aa66b574ccae76b4333d4a205bd13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29108469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishijima, Daniel K</creatorcontrib><creatorcontrib>Gaona, Samuel D</creatorcontrib><creatorcontrib>Waechter, Trent</creatorcontrib><creatorcontrib>Maloney, Ric</creatorcontrib><creatorcontrib>Blitz, Adam</creatorcontrib><creatorcontrib>Elms, Andrew R</creatorcontrib><creatorcontrib>Farrales, Roel D</creatorcontrib><creatorcontrib>Montoya, James</creatorcontrib><creatorcontrib>Bair, Troy</creatorcontrib><creatorcontrib>Howard, Calvin</creatorcontrib><creatorcontrib>Gilbert, Megan</creatorcontrib><creatorcontrib>Trajano, Renee P</creatorcontrib><creatorcontrib>Hatchel, Kaela M</creatorcontrib><creatorcontrib>Faul, Mark</creatorcontrib><creatorcontrib>Bell, Jeneita M</creatorcontrib><creatorcontrib>Coronado, Victor C</creatorcontrib><creatorcontrib>Vinson, David R</creatorcontrib><creatorcontrib>Ballard, Dustin W</creatorcontrib><creatorcontrib>Tancredi, Daniel J</creatorcontrib><creatorcontrib>Garzon, Hernando</creatorcontrib><creatorcontrib>Mackey, Kevin E</creatorcontrib><creatorcontrib>Shahlaie, Kiarash</creatorcontrib><creatorcontrib>Holmes, James F</creatorcontrib><title>The Incidence of Traumatic Intracranial Hemorrhage in Head-Injured Older Adults Transported by EMS with and without Anticoagulant or Antiplatelet Use</title><title>Journal of neurotrauma</title><addtitle>J Neurotrauma</addtitle><description>Field triage guidelines recommend transport of head-injured patients on anticoagulants or antiplatelets to a higher-level trauma center based on studies suggesting a high incidence of traumatic intracranial hemorrhage (tICH). We compared the incidence of tICH in older adults transported by emergency medical services (EMS) with and without anticoagulation or antiplatelet use and evaluated the accuracies of different sets of field triage criteria to identify tICH. This was a prospective, observational study at five EMS agencies and 11 hospitals. Older adults (≥55 years) with head trauma and transported by EMS from August 2015 to September 2016 were eligible. EMS providers completed standardized data forms and patients were followed through emergency department (ED) or hospital discharge. We enrolled 1304 patients; 1147 (88%) received a cranial computed tomography (CT) scan and were eligible for analysis. Four hundred thirty-four (33%) patients had anticoagulant or antiplatelet use and 112 (10%) had tICH. The incidence of tICH in patients with (11%, 95% confidence interval [CI] 8%-14%) and without (9%, 95% CI 7%-11%) anticoagulant or antiplatelet use was similar. Anticoagulant or antiplatelet use was not predictive of tICH on adjusted analysis. Steps 1-3 criteria alone were not sensitive in identifying tICH (27%), whereas the addition of anticoagulant or antiplatelet criterion improved sensitivity (63%). Other derived sets of triage criteria were highly sensitive (>98%) but poorly specific (<11%). The incidence of tICH was similar between patients with and without anticoagulant or antiplatelet use. Use of anticoagulant or antiplatelet medications was not a risk factor for tICH. We were unable to identify a set of triage criteria that was accurate for trauma center need.</description><subject>Anticoagulants</subject><subject>Computed tomography</subject><subject>Emergency medical care</subject><subject>Emergency services</subject><subject>Epidemiology</subject><subject>Head injuries</subject><subject>Hemorrhage</subject><subject>Older people</subject><subject>Original</subject><subject>Trauma</subject><subject>Trauma centers</subject><issn>0897-7151</issn><issn>1557-9042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkc1uEzEUhS0EomlgyRZZYsNmgj22x5kNUlSVNlJRF6Rr647tSSaasYN_QH0Q3hdPWypgZfue7x756CD0jpIVJev2k7N5VRMqV6Jm9Qu0oELIqiW8fokWRZeVpIKeofMYj4RQ1tTyNTqr27LLm3aBfu0OFm-dHox12mLf412APEEadBmnADqAG2DE13byIRxgb_HgygtMtXXHHKzBt6OxAW9MHlOc1108-ZCK0N3jy6_f8M8hHTA483DxOeGNK_Ye9nkEl7APD4PTCMmONuG7aN-gVz2M0b59Opfo7svl7uK6urm92l5sbirNqUhVB8bw2kBrTE-Egd5IY0RDSUdNzeW6l10L0DSdkFxrsLLpOGPMcKiJ6AxlS_T50feUu8kabefEozqFYYJwrzwM6l_FDQe19z-UWDMquSwGH58Mgv-ebUxqGqK2YwlmfY6Ktg1t2Hpd-CX68B969Dm4Ek-V_ggXjBJSqOqR0sHHGGz__BlK1Fy4KoXPC1LNhRf-_d8Jnuk_DbPfmHaqfQ</recordid><startdate>20180301</startdate><enddate>20180301</enddate><creator>Nishijima, Daniel K</creator><creator>Gaona, Samuel D</creator><creator>Waechter, Trent</creator><creator>Maloney, Ric</creator><creator>Blitz, Adam</creator><creator>Elms, Andrew R</creator><creator>Farrales, Roel D</creator><creator>Montoya, James</creator><creator>Bair, Troy</creator><creator>Howard, Calvin</creator><creator>Gilbert, Megan</creator><creator>Trajano, Renee P</creator><creator>Hatchel, Kaela M</creator><creator>Faul, Mark</creator><creator>Bell, Jeneita M</creator><creator>Coronado, Victor C</creator><creator>Vinson, David R</creator><creator>Ballard, Dustin W</creator><creator>Tancredi, Daniel J</creator><creator>Garzon, Hernando</creator><creator>Mackey, Kevin E</creator><creator>Shahlaie, Kiarash</creator><creator>Holmes, James F</creator><general>Mary Ann Liebert, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180301</creationdate><title>The Incidence of Traumatic Intracranial Hemorrhage in Head-Injured Older Adults Transported by EMS with and without Anticoagulant or Antiplatelet Use</title><author>Nishijima, Daniel K ; Gaona, Samuel D ; Waechter, Trent ; Maloney, Ric ; Blitz, Adam ; Elms, Andrew R ; Farrales, Roel D ; Montoya, James ; Bair, Troy ; Howard, Calvin ; Gilbert, Megan ; Trajano, Renee P ; Hatchel, Kaela M ; Faul, Mark ; Bell, Jeneita M ; Coronado, Victor C ; Vinson, David R ; Ballard, Dustin W ; Tancredi, Daniel J ; Garzon, Hernando ; Mackey, Kevin E ; Shahlaie, Kiarash ; Holmes, James F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-badd42da9ddf05dafd7dd5610b1d2478f7b9aa66b574ccae76b4333d4a205bd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anticoagulants</topic><topic>Computed tomography</topic><topic>Emergency medical care</topic><topic>Emergency services</topic><topic>Epidemiology</topic><topic>Head injuries</topic><topic>Hemorrhage</topic><topic>Older people</topic><topic>Original</topic><topic>Trauma</topic><topic>Trauma centers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishijima, Daniel K</creatorcontrib><creatorcontrib>Gaona, Samuel D</creatorcontrib><creatorcontrib>Waechter, Trent</creatorcontrib><creatorcontrib>Maloney, Ric</creatorcontrib><creatorcontrib>Blitz, Adam</creatorcontrib><creatorcontrib>Elms, Andrew R</creatorcontrib><creatorcontrib>Farrales, Roel D</creatorcontrib><creatorcontrib>Montoya, James</creatorcontrib><creatorcontrib>Bair, Troy</creatorcontrib><creatorcontrib>Howard, Calvin</creatorcontrib><creatorcontrib>Gilbert, Megan</creatorcontrib><creatorcontrib>Trajano, Renee P</creatorcontrib><creatorcontrib>Hatchel, Kaela M</creatorcontrib><creatorcontrib>Faul, Mark</creatorcontrib><creatorcontrib>Bell, Jeneita M</creatorcontrib><creatorcontrib>Coronado, Victor C</creatorcontrib><creatorcontrib>Vinson, David R</creatorcontrib><creatorcontrib>Ballard, Dustin W</creatorcontrib><creatorcontrib>Tancredi, Daniel J</creatorcontrib><creatorcontrib>Garzon, Hernando</creatorcontrib><creatorcontrib>Mackey, Kevin E</creatorcontrib><creatorcontrib>Shahlaie, Kiarash</creatorcontrib><creatorcontrib>Holmes, James F</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurotrauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishijima, Daniel K</au><au>Gaona, Samuel D</au><au>Waechter, Trent</au><au>Maloney, Ric</au><au>Blitz, Adam</au><au>Elms, Andrew R</au><au>Farrales, Roel D</au><au>Montoya, James</au><au>Bair, Troy</au><au>Howard, Calvin</au><au>Gilbert, Megan</au><au>Trajano, Renee P</au><au>Hatchel, Kaela M</au><au>Faul, Mark</au><au>Bell, Jeneita M</au><au>Coronado, Victor C</au><au>Vinson, David R</au><au>Ballard, Dustin W</au><au>Tancredi, Daniel J</au><au>Garzon, Hernando</au><au>Mackey, Kevin E</au><au>Shahlaie, Kiarash</au><au>Holmes, James F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Incidence of Traumatic Intracranial Hemorrhage in Head-Injured Older Adults Transported by EMS with and without Anticoagulant or Antiplatelet Use</atitle><jtitle>Journal of neurotrauma</jtitle><addtitle>J Neurotrauma</addtitle><date>2018-03-01</date><risdate>2018</risdate><volume>35</volume><issue>5</issue><spage>750</spage><epage>759</epage><pages>750-759</pages><issn>0897-7151</issn><eissn>1557-9042</eissn><abstract>Field triage guidelines recommend transport of head-injured patients on anticoagulants or antiplatelets to a higher-level trauma center based on studies suggesting a high incidence of traumatic intracranial hemorrhage (tICH). We compared the incidence of tICH in older adults transported by emergency medical services (EMS) with and without anticoagulation or antiplatelet use and evaluated the accuracies of different sets of field triage criteria to identify tICH. This was a prospective, observational study at five EMS agencies and 11 hospitals. Older adults (≥55 years) with head trauma and transported by EMS from August 2015 to September 2016 were eligible. EMS providers completed standardized data forms and patients were followed through emergency department (ED) or hospital discharge. We enrolled 1304 patients; 1147 (88%) received a cranial computed tomography (CT) scan and were eligible for analysis. Four hundred thirty-four (33%) patients had anticoagulant or antiplatelet use and 112 (10%) had tICH. The incidence of tICH in patients with (11%, 95% confidence interval [CI] 8%-14%) and without (9%, 95% CI 7%-11%) anticoagulant or antiplatelet use was similar. Anticoagulant or antiplatelet use was not predictive of tICH on adjusted analysis. Steps 1-3 criteria alone were not sensitive in identifying tICH (27%), whereas the addition of anticoagulant or antiplatelet criterion improved sensitivity (63%). Other derived sets of triage criteria were highly sensitive (>98%) but poorly specific (<11%). The incidence of tICH was similar between patients with and without anticoagulant or antiplatelet use. Use of anticoagulant or antiplatelet medications was not a risk factor for tICH. We were unable to identify a set of triage criteria that was accurate for trauma center need.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>29108469</pmid><doi>10.1089/neu.2017.5232</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0897-7151 |
| ispartof | Journal of neurotrauma, 2018-03, Vol.35 (5), p.750-759 |
| issn | 0897-7151 1557-9042 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5831747 |
| source | Alma/SFX Local Collection |
| subjects | Anticoagulants Computed tomography Emergency medical care Emergency services Epidemiology Head injuries Hemorrhage Older people Original Trauma Trauma centers |
| title | The Incidence of Traumatic Intracranial Hemorrhage in Head-Injured Older Adults Transported by EMS with and without Anticoagulant or Antiplatelet Use |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T18%3A24%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Incidence%20of%20Traumatic%20Intracranial%20Hemorrhage%20in%20Head-Injured%20Older%20Adults%20Transported%20by%20EMS%20with%20and%20without%20Anticoagulant%20or%20Antiplatelet%20Use&rft.jtitle=Journal%20of%20neurotrauma&rft.au=Nishijima,%20Daniel%20K&rft.date=2018-03-01&rft.volume=35&rft.issue=5&rft.spage=750&rft.epage=759&rft.pages=750-759&rft.issn=0897-7151&rft.eissn=1557-9042&rft_id=info:doi/10.1089/neu.2017.5232&rft_dat=%3Cproquest_pubme%3E2010453100%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2010453100&rft_id=info:pmid/29108469&rfr_iscdi=true |