Selective CT for Anticoagulated Head Injured Patients
Selective Neuroimaging for Head-injured Emergency Patients Who Take Anticoagulant Medication
Dr. Kerstin de Wit
4,000 participants
Mar 17, 2022
OBSERVATIONAL
Conditions
Summary
The goal is to derive and a clinical decision rule for safe exclusion of traumatic brain injury without neuroimaging in head-injured ED patients who take anticoagulant medications. The objectives are to: 1. Derive and externally validate a new highly sensitive and maximally specific clinical decision rule for the exclusion of traumatic brain injury in head-injured ED patients who take anticoagulant medications; and, 2. Estimate the sensitivity and specificity of existing head injury clinical decision rules in head-injured ED patients who take anticoagulant medications.
Eligibility
Inclusion Criteria4
- Age ≥16 years
- Presents to the emergency department after a head injury
- Patient has a head CT in the emergency department
- Is a current anticoagulant user
Exclusion Criteria7
- Head injury occurred \>48 h before patient's arrival to the emergency department
- Penetrating head injury
- Previously enrolled
- Patient resides outside of the hospital's catchment area
- Patient was transferred from another emergency department following neuroimaging
- Patient was not managed by the emergency or trauma physician in the emergency department
- Leaves the emergency department prior to completion of their medical assessment
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Locations(7)
View Full Details on ClinicalTrials.gov
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NCT05364749