神経外傷
Online ISSN : 2434-3900
原著
当施設における頭部外傷:抗血栓薬内服症例の特徴
沖野 礼一稲次 基希高橋 暁野田 真利子黒羽 真砂恵唐鎌 淳橋本 聡華菅原 貴志田中 洋次前原 健寿
著者情報
ジャーナル フリー

2020 年 43 巻 1 号 p. 5-12

詳細
抄録

Here we investigated the differences in clinical charac­teristics between head injury patients with and without pre­injury antithrombotic therapy to clarify its effect to the clinical course and out­come. A total of 779 patients from January 2015 to December 2018 were included in this study. There were 60 patients with preinjury anti­throm­botic therapy. Patients’ characteristics, symptoms, and clinical findings on hospital arrival, surgically treated or not, and modified Rankin Scale at dis­charge were com­pared. Patients’ age and rate of fall related injury were significantly higher in patients with preinjury anti­throm­botic therapy. They also had significantly more patients who talked and deteriorated (T&D), higher rate of surgical treatment, and worse clinical outcome, although Glasgow Coma Scale on hospital arrival showed no difference. Preinjury antithrombotic therapy significantly increase the rate of T&D and surgical treatment. These findings highlight the effect of preinjury antithrombotic therapy on treating head injury and the importance of close observation and neutralization of antithrombotic drugs.

著者関連情報
© 2020 日本脳神経外傷学会
前の記事 次の記事
feedback
Top