Primary prevention
Secondary prevention
Patients should avoid the use of antithrombotics and anticoagulants unless necessary for other premorbid conditions. Guidelines and data are sparse on the topic. In one retrospective study, resuming anticoagulation 6 to 8 weeks following haemorrhage reduced mortality, thrombotic events, and haemorrhagic events.[156] In another study, resuming anticoagulation less than 2 weeks from haemorrhagic events in patients with mechanical heart valves increased the risk of haemorrhagic events.[157] The 2022 American Heart/American Stroke Association guidelines on anticoagulation suggest that the size of haematoma, patient age, and extent of risk for thrombosis should all be considered when reinitiating anticoagulation.[158] Physiotherapy, walking aids, and gait training may be used to reduce the chance of subsequent falls and head trauma.
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