Abstract

QUINTANA DIAZ, Manuel; RODILES HEREDIA, Roswell E.  and  GARCIA ERCE, José Antonio. Traumatic brain injury (TBI) and anticoagulation: Key points. Arch. Med Int [online]. 2015, vol.37, n. 3, pp.158-162. ISSN 0250-3816.

Abstract:  Traumatic brain injury (TBI) is a frequent reason of consultation in any Emergency Room. The United States report up to 1.7 million affected individuals persons. In Spain, the figure corresponding only to mild TBI is estimated at 92,000 patients per year. Males, specially after age 65, are the most affected group and the most frequent injury mechanism is a a all from their height.  The association with oral anticoagulant therapy (OAT) increases the complexity of its managament and is an issue under permanent review. The need to reverse anticoagulation, the methods to achieve it, the prescription of a second CT control  in patients with mild to moderate TBI, the algorithms to better guide and organize the possible courses of action are still issues under review.  An adequate initial assessment, a CT control only in case of neurological damage and reversion of anticoagulation with prothrombin complex allow an effective management.

Keywords : Traumatic brain injury; oral anticoagulants; anticogulation reversion; Pasma; Prothrombin complex.