What Is the Incidence of Intracranial Hemorrhage Among Anticoagulated Patients With Minor Head Trauma?

The search strategy identified 10,391 studies, of which 5 prospective studies (n=4,080 participants) were eligible for inclusion. Studies were conducted in the Netherlands, France, Italy, the United States, and the United Kingdom. Study protocols varied, with 3 studies requiring that all anticoagulated patients undergo head computed tomography (CT) as part of their initial evaluation, whereas 2 studies left the decision to physician discretion. Of the 4,080 anticoagulated patients, 4,010 (98%) were receiving vitamin K antagonists, whereas 60 were receiving a direct oral anticoagulant and 10 were receiving enoxaparin.

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