Platelet Inhibitor Treated Patients With Head Injury Trauma Meeting NICE Criteria : is the CT-scan Mandatory ?
Platelet Inhibitor Treated Patients With Head Injury Trauma Without Any Clinical Symptoms of Cerebral Haemorrhage (NICE Criteria) : is the CT-scan Mandatory ?
Rennes University Hospital
3,200 participants
Jun 15, 2020
OBSERVATIONAL
Conditions
Summary
At the emergencies rooms, patients with head trauma meeting one of the NICE criteria, which include antiplatelet inhibitors treatment, are considered as patients with a risk of cerebral haemorrage and are taken systematically for a CT-scanner. However, there are more and more antiplatelet inhibitor's patient with minor head injury traumas seen at the emergencies room and the efficiency of this NICE criteria is controversial on litterature. This study aims to determine that the absence of no other NICE criteria than antiplatelet inhibitors is a sufficient condition to eliminate a cerebral haemorrhage for patients with head injury traumas, and conversely, that antiplatelet inhibitors treatment would not be by itself an indication for a CT-scanner.
Eligibility
Inclusion Criteria5
- At least 18 years old
- Patient with a head injury trauma, described by the patient or seen at the clinical exam
- Glasgow score between 13 and 15 at the clinical exam
- Current treatment with antiplatelet inhibitors
- Informed non opposition form signed
Exclusion Criteria3
- Absence of CT-scanner
- Patients with double anti-platelet aggregation
- Patients on anticoagulants
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Interventions
After a clinical exam, patient have a CT-scanner to check any cerebral haemorrhage.
Locations(12)
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NCT03687528