Intracranial Haemorrhage in Patients on Anticoagulation

This prospective study of patients with blunt head trauma showed that patients on clopidogrel had a higher rate of intracranial haemorrhage (12%) than those on Warfarin (5%), but warfarin had a small rate (0.6%) of delayed haemorrhage.  In this study, 97 % of patients were mild head injury with only 18% having a history of loss of consciousness or amnesia. The implication is that like patients on warfarin, you should have a very low threshhold for scanning patients on clopidogrel.

 Intracranial Haemorrhage with Anticoagulants Annals EM 2012

 

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