{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T07:59:16Z","timestamp":1773302356421,"version":"3.50.1"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,10]]},"abstract":"<jats:p content-type=\"fine-print\"><jats:italic>Object.<\/jats:italic> The goal of this paper was to investigate a possible relationship between the consumption of low-dose aspirin (LDA) and traumatic intracranial hemorrhage in an attempt to determine whether older patients receiving prophylactic LDA require special treatment following an incidence of mild-to-moderate head trauma.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Methods.<\/jats:italic> Two hundred thirty-one patients older than 60 years of age, who arrived at the emergency department with a mild or moderate head injury (Glasgow Coma Scale [GCS] Scores 13\u201315 and 9\u201312, respectively), were included in the study. One hundred ten patients were receiving prophylactic LDA (100 mg\/day) and these formed the aspirin-treated group. One hundred twenty-one patients were receiving no aspirin, and these formed the control group. There was no statistically significant difference between the two groups with respect to age, sex, mechanism of trauma, or GCS score on arrival at the emergency department. Most of the patients sustained the head injury from falls (88.2% of patients in the aspirin-treated group and 85.1% of patients in the control group), and had external signs of head trauma such as bruising or scalp laceration (80.9% of patients in the aspirin-treated group and 86.8% of patients in the control group). All patients underwent similar neurological examinations and computerized tomography (CT) scanning of the head.<\/jats:p>\n<jats:p content-type=\"fine-print\">The CT scans revealed evidence of traumatic intracranial hemorrhage in 27 (24.5%) patients in the aspirin-treated group and in 31 patients (25.6%) in the control group. Surgical intervention was required for five patients in each group (4.5% of patients in the aspirin-treated group and 4.1% of patients in the control group). A surprising number of the patients who arrived with GCS Score 15 were found to have traumatic intracranial hemorrhage, as revealed by CT scanning (11.5% of patients in the aspirin-treated group and 16.5% of patients in the control group). Surgery, however, was not necessary for any of these patients.<\/jats:p>\n<jats:p content-type=\"fine-print\"><jats:italic>Conclusions.<\/jats:italic> There was no statistically significant difference in the frequency or types of traumatic intracranial hemorrhage between patients who had received aspirin prophylaxis and those who had not. The authors conclude that LDA does not increase surgically relevant parenchymal or meningeal bleeding following moderate and minor head injury in patients older than 60 years of age.<\/jats:p>","DOI":"10.3171\/jns.2003.99.4.0661","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T17:49:22Z","timestamp":1242236962000},"page":"661-665","source":"Crossref","is-referenced-by-count":74,"title":["Low-dose aspirin prophylaxis and risk of intracranial hemorrhage in patients older than 60 years of age with mild or moderate head injury: a prospective study"],"prefix":"10.3171","volume":"99","author":[{"given":"Sergey","family":"Spektor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Agus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vladimir","family":"Merkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shlomo","family":"Constantini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Haemostasis","first-page":"99","article-title":"Aspirin in very ultra low dosage in healthy volunteers: effects on bleeding time, platelet aggregation and coagulation.","volume":"20","author":"Doutremepuich","year":"1990"},{"key":"b2","series-title":"J Neurosurg","first-page":"9","article-title":"Risk factors predicting operable intracranial hematomas in head injury.","volume":"77","author":"Gutman","year":"1992"},{"key":"b3","series-title":"Spine","first-page":"1931","article-title":"Is there a link between acute spinal epidural hematoma and aspirin?","volume":"20","author":"Heye","year":"1995"},{"key":"b4","series-title":"Br Med J","first-page":"365","article-title":"Dangers of aspirin before cardiac surgery.","volume":"305","author":"Holden","year":"1992"},{"key":"b5","series-title":"Surg Neurol","first-page":"293","article-title":"Acute spinal epidural hematoma secondary to aspirin induced prolonged bleeding.","volume":"5","author":"Locke","year":"1976"},{"key":"b6","series-title":"J Neurol Neurosurg Psychiatry","first-page":"829","article-title":"Anticoagulation-related intracranial extracerebral hemorrhage.","volume":"52","author":"Mattle","year":"1989"},{"key":"b7","series-title":"Ann Intern Med","first-page":"622","article-title":"Aspirin for the primary prevention of cardiovascular events.","volume":"137","author":"McLaughlin","year":"2002"},{"key":"b8","series-title":"J Neurosurg","first-page":"682","article-title":"Surgical postoperative bleeding associated with Aspirin ingestion. 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A practical scale.","volume":"2","author":"Teasdale","year":"1974"},{"key":"b18","series-title":"Br J Urol","first-page":"85","article-title":"Identifiable factors in post-prostatectomy haemorrhage: the role of aspirin.","volume":"66","author":"Watson","year":"1990"},{"key":"b19","series-title":"Brain Surgery: Complication Avoidance and Management.","first-page":"177","article-title":"General considerations","author":"Wilson","year":"1993"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/99\/4\/article-p661.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/99\/4\/article-p661.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/99\/4\/article-p661.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T23:58:46Z","timestamp":1679270326000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/99\/4\/article-p661.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,10]]},"references-count":19,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/jns.2003.99.4.0661","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2003,10]]}}}