Selective CT for Anticoagulated Head Injured Patients
Head Injury | Traumatic Brain Injury | Intracranial Hemorrhage, Traumatic | Blunt Head InjuryThe 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.
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Participation Requirements
-
Sex:
ALL -
Eligible Ages:
16 and up
Participation Criteria
Inclusion Criteria:
* 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 Criteria:
* 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
Study Location
University of British Columbia
University of British ColumbiaVancouver, British Columbia
Canada
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David Barbic, MD
Sinai Health
Sinai HealthToronto, Ontario
Canada
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Shelley McLeod, PhD, MSc
Ottawa Hospital Research Institute
Ottawa Hospital Research InstituteOttawa, Ontario
Canada
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Gabriel Sandino-Gold
Hamilton Health Sciences Corporation
Hamilton Health Sciences CorporationHamilton, Ontario
Canada
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Hôpital du Sacré-Cœur de Montréal
Hôpital du Sacré-Cœur de MontréalMontréal, Quebec
Canada
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Chantal Lanthier, RN
Kingston Health Sciences Centre
Kingston Health Sciences CentreKingston, Ontario
Canada
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CHU de Québec - Université Laval
CHU de Québec - Université LavalQuébec City, Quebec
Canada
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Alexandra Nadeau
- Study Sponsored By
- Queen's University
- Participants Required
- More Information
- Study ID:
NCT05364749