Table 3.

Patients With Delayed Traumatic Intracranial Hemorrhage (all with pre-injury warfarin use)

Patient	Mechanism of Injury	Initial GCS	Initial INR	Repeat cranial CT findings (days after initial cranial CT)	Neurosurgical intervention/In- hospital mortality (days after initial cranial CT)	Comments
63 year old female	Ground level fall, isolated head injury	15	1.15	Massive subdural hematoma with uncal herniation (3)	Mannitol/Died (3)	Patient was discharged home from initial ED visit. She was found obtunded at home three days later. She was taken emergently to ED and died in hospital the same day.
63 year old male	Ground level fall, isolated head injury	15	1.50	Small intraparenchymal contusion and subarachnoid hemorrhage (1)	No/No	Patient was admitted to hospital. Routine repeat cranial CT showed a small tICH. Discharged home HD#4.
79 year old male	Ground level fall, isolated head injury	15	4.95	Small intraventricular hemorrhage (7)	No/No	Patient was admitted to hospital. Repeat cranial CT obtained for a change in mental status on HD#7. Patient improved and was discharged home on HD#8.
91 year old male	Ground level fall, isolated head injury	15	1.90	Large intraparenchymal, subarachnoid, and intraventricular hemorrhage with midline shift of 9.3 mm (3)	No/Died (7)	Patient was admitted to hospital. On HD#3, repeat cranial CT was obtained for a change in mental status demonstrated a large tICH and patient was made DNR. Died on HD#7.

Abbreviations: GCS, Glasgow coma scale; INR, international normalized ratio; ED, emergency department; CT, computed tomography; tICH, traumatic intracranial hemorrhage; HD, hospital day; DNR, Do-Not-Resuscitate