What Is the Incidence of Intracranial Bleeding in Patients with Mild Traumatic Brain Injury? A Retrospective Study in 3088 Canadian CT Head Rule Patients

Objective. Only limited data exists in terms of the incidence of intracranial bleeding (ICB) in patients with mild traumatic brain injury (MTBI). Methods. We retrospectively identified 3088 patients (mean age 41 range (7–99) years) presenting with isolated MTBI and GCS 14-15 at our Emergency Departm...

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Bibliographic Details
Published in:BioMed research international 2013-01, Vol.2013 (2013), p.1-4
Main Authors: Zimmermann, Heinz, Zisakis, Athanasios K., Evangelopoulos, D. S., von Allmen, M., Albers, C. E., Exadaktylos, Aristomenis K.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Aged
Aged, 80 and over
Anticoagulants
Brain
Brain Injuries - complications
Brain Injuries - diagnostic imaging
Brain Injuries - epidemiology
Brain Injuries - pathology
Canada
Clinical Study
CT imaging
Drugs
Emergency medical care
Epidural
Female
Gender
Health surveillance
Hemorrhage
Humans
Injuries
Intracranial Hemorrhages - complications
Intracranial Hemorrhages - diagnostic imaging
Intracranial Hemorrhages - pathology
Male
Middle Aged
Patients
Retrospective Studies
Risk factors
Task forces
Tomography, X-Ray Computed
Trauma
Traumatic brain injury
Young Adult
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Summary:Objective. Only limited data exists in terms of the incidence of intracranial bleeding (ICB) in patients with mild traumatic brain injury (MTBI). Methods. We retrospectively identified 3088 patients (mean age 41 range (7–99) years) presenting with isolated MTBI and GCS 14-15 at our Emergency Department who had undergone cranial CT (CCT) between 2002 and 2011. Indication for CCT was according to the “Canadian CT head rules.” Patients with ICB were either submitted for neurosurgical treatment or kept under surveillance for at least 24 hours. Pearson’s correlation coefficient was used to correlate the incidence of ICB with age, gender, or intake of coumarins, platelet aggregation inhibitors, or heparins. Results. 149 patients (4.8%) had ICB on CCT. No patient with ICB died or deteriorated neurologically. The incidence of ICB increased with age and intake of anticoagulants without clinically relevant correlation (R=0.11; P
ISSN:2314-6133
2314-6141
DOI:10.1155/2013/453978