Prolonged observation or routine reimaging in older patients following a head injury is not justified

Jeffrey J Perry^{1

2

3}, Dar Dowlatshahi^{4

5}, Debra Eagles^{6

5

7}

Affiliations

¹ Department of Emergency Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada. jperry@ohri.ca.
² School of Epidemiology, Public Health and Preventative Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada. jperry@ohri.ca.
³ Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada. jperry@ohri.ca.
⁴ Department of Medicine (Neurology), University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
⁵ School of Epidemiology, Public Health and Preventative Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
⁶ Department of Emergency Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
⁷ Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.

Editorial

Jeffrey J Perry et al. CJEM. 2022 Dec.

. 2022 Dec;24(8):795-796.

doi: 10.1007/s43678-022-00429-3. Epub 2022 Dec 8.

Jeffrey J Perry^{1

2

3}, Dar Dowlatshahi^{4

5}, Debra Eagles^{6

5

7}

¹ Department of Emergency Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada. jperry@ohri.ca.
² School of Epidemiology, Public Health and Preventative Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada. jperry@ohri.ca.
³ Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada. jperry@ohri.ca.
⁴ Department of Medicine (Neurology), University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
⁵ School of Epidemiology, Public Health and Preventative Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
⁶ Department of Emergency Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
⁷ Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.

No abstract available

Keywords: Anticoagulation; Emergency medicine; Head injury; Intracranial hemorrhage.

References

1. Liu S, McLeod SL, Atzema CL, et al. Delayed intracranial hemorrhage after head injury among elderly patients on anticoagulation seen in the emergency department. Can J Emerg Med. 2022. https://doi.org/10.1007/s43678-022-00392-z . - DOI
1. Stiell IG, Wells GA. The Canadian CT head rule. Lancet. 2001;358:1014. - DOI
1. Stiell IG, Clement C, Rowe BH, et al. Comparison of the Canadian CT head rule and the new orleans criteria in patients with minor head injury. JAMA. 2005;294:1511–8. - DOI
1. Stiell IG, Clement CM, Grimshaw JM, et al. A prospective cluster-randomized trial to implement the Canadian CT head rule in emergency departments. CMAJ. 2010;182:1527–32. - DOI
1. National Collaborating Cente for Acute Care (Great Britain). Head injury: triage, assessment, investigation, and early management of head injury in infants, children, and adults: methods, evidence and guidance. 176, 230. 2007. Nice.