Characteristics of chronic subdural haematomas related to DOACs vs warfarin

For CSDH patients, DOACs may potentially be a safer method of anticoagulation as opposed to warfarin as they appear to be linked to the development of smaller sized hematomas and reduced midline shift, although there was no significant difference in GCS between the groups. These features are known to reduce the risk of needing neurosurgical intervention for CSDH. This is important in influencing the management of an increasingly ageing, multi-morbid population on increasing amounts of anticoagulation medication.

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Publication Details

Journal
BMC Neurology
Published
2025-04-26
DOI
https://doi.org/10.1186/s12883-025-04134-3
Primary Topic
Neurosurgical Procedures and Complications
Type
article
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article

Characteristics of chronic subdural haematomas related to DOACs vs warfarin

Gokul Raj Krishna, Arshad Rizvi, Joshua MacArthur, Ella Snowdon et al.
BMC Neurology
Neurosurgical Procedures and Complications
article

Characteristics of chronic subdural haematomas related to DOACs vs warfarin

Gokul Raj Krishna, Arshad Rizvi, Joshua MacArthur, Ella Snowdon, K. Joshi George, Sayan Biswas, Ved Sarkar, Amisha Patel, Hannah Cheng, Maya Holt, Aleksandra Sobieraj, Anand Pandit, Kate Sheridan, Callum Tetlow, R. F. Soames Job, Aaliya Ashik, Lameesa Kaysor
article en

Abstract

For CSDH patients, DOACs may potentially be a safer method of anticoagulation as opposed to warfarin as they appear to be linked to the development of smaller sized hematomas and reduced midline shift, although there was no significant difference in GCS between the groups. These features are known to reduce the risk of needing neurosurgical intervention for CSDH. This is important in influencing the management of an increasingly ageing, multi-morbid population on increasing amounts of anticoagulation medication.

BMC NeurologyVol. 25(1)
Berkeley College (US), University of Manchester (GB), Northern Health and Social Care Trust (GB), University College London (GB), University of California, Berkeley (US)
Good health and well-being
Openalex Percentile: Top 85%
Neurosurgical Procedures and Complications
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Characteristics of chronic subdural haematomas related to DOACs vs warfarin — Gokul Raj Krishna, Arshad Rizvi, et al. · BMC Neurology (2025) | TGRS Research Map | TGRS