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As low-dose prophylactic aspirin therapy becomes common among older people, potential risks that are associated with such treatment assume increasing importance. In particular, some clinicians are concerned that aspirin therapy might increase risk for intracranial hemorrhage among elders who fall and suffer head injuries.
To determine whether this concern is justified, Israeli researchers prospectively identified 231 older patients (mean age, 79) with mild-to-moderate head injuries (Glasgow score, 9-15) who presented to 2 emergency departments; 110 patients were taking prophylactic low-dose aspirin, and 121 were not. Falls were responsible for 86% of injuries. The prevalence of traumatic intracranial hemorrhage, as determined by head compute…