Progression of Intracranial Hemorrhage After Chemical Prophylaxis Using Low-Molecular-Weight Heparin in Patients With Traumatic Brain Injury.
Zachary T ThierKelan Drake-LavellePhillip J PrestMark A JonesJeremy M ReevesCatherine F McClung-SmithTyler M GoodwinNolan VillaniJohn MetzJ Benjamin Jackson IiiPublished in: The American surgeon (2021)
Over a 4-year period, the use of CT to evaluate for radiographic progression of traumatic intracranial hemorrhage 24 hours after receiving LMWH resulted in a change in clinical management for 3.1% of patients. The odds of intracranial hemorrhage progression were approximately 6.5× greater in patients with subdural hemorrhage on initial CT, 3.1× greater in patients with lack of bilateral pupillary response in ED, and 4.2× greater in patients who had been diagnosed with dementia.
Keyphrases
- traumatic brain injury
- end stage renal disease
- computed tomography
- image quality
- ejection fraction
- newly diagnosed
- contrast enhanced
- dual energy
- optic nerve
- emergency department
- chronic kidney disease
- spinal cord injury
- magnetic resonance imaging
- prognostic factors
- peritoneal dialysis
- positron emission tomography
- patient reported outcomes
- case report