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 hemorrhage reduced mortality, thrombotic events, and hemorrhagic events.[157] In another study, resuming anticoagulation less than 2 weeks from hemorrhagic events in patients with mechanical heart valves increased the risk of hemorrhagic events.[158] The 2022 American Heart/American Stroke Association guidelines on anticoagulation suggest that the size of hematoma, patient age, and extent of risk for thrombosis should all be considered when reinitiating anticoagulation.[159] Physical therapy, walking aids, and gait training may be used to reduce the chance of subsequent falls and head trauma.
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