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Return to Warfarin Okay After TBI?

Restarting warfarin (Coumadin) after a traumatic brain injury (TBI) improved overall outcomes despite the bleeding risk, an observational Medicare study showed. Hemorrhagic events -- stroke or upper GI, adrenal, or other bleeds -- were 1.51 times more likely with resumption of the blood thinner in the year after TBI than without going back on the drug (95% confidence interval 1.29-1.78), Ilene H.

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Dr. Sears Comments:

Dr. Barry Sears

The biggest lingering problem of TBI is not bleeding but continuing neuroinflammation in the brain.

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