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Rethinking the Use of Routine Platelet Transfusions for Head Injured Patients on Antiplatelet Therapy

Gabriel O Ologun1, Arpitha Pamula2, Mojirola Alegbejo-Olarinoye3

  • 1General Surgery, Robert Packer Hospital/Guthrie Clinic, Sayre, USA.

Cureus
|December 31, 2019
PubMed

Traumatic brain injury is responsible for over one million hospital visits, and thousands of deaths annually. The aging population is associated with an increased use of anticoagulation and antiplatelet agents which complicates traumatic brain injury. The use of antiplatelet agents significantly increases baseline risk of intracranial hemorrhage. However, routine platelet transfusion in an attempt to reverse the effects of antiplatelet agents may be detrimental. Here, we report a case of an elderly woman with mild traumatic brain injury, who suffered a tragic demise after platelet transfusion.

Keywords:
antiplatelet therapyhead injuryhead traumatransfusion

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