Category: Trauma
Keywords: ICh, risk factor head injury, geriatric (PubMed Search)
Posted: 2/4/2026 by Robert Flint, MD
(Updated: 2/7/2026)
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In a metanalysis of studies looking at intercranial hemorrhage in fall patients older than 65 years, the following were unadjusted odds ratio risk factors for finding an ICH in this patient population:
suspected open or depressed skull fracture , signs of basal skull fracture ), reduced baseline Glasgow Coma Scale score , focal neurologic signs , seizure , vomiting , amnesia , loss of consciousness , headache ), external sign of head trauma , male sex , chronic kidney disease , preinjury single antiplatelet , and dual antiplatelet medication .
Preinjury anticoagulant was not a significant risk factor.
When looking at adjusted odds rations only focal neurologic signs , external sign of head trauma , loss of consciousness , and male sex were found to be associated with intercranial hemorrhage.
Dubucs, Xavier et al.
Annals of Emergency Medicine, Volume 87, Issue 2, 181 - 191