14 doctors weighed in:

Ischemic stroke at 90, pelvic fracture and cerebral contusion at 92. If risk of bleeding from falling > risk of tia/stroke from clot, baby aspirin ok?

14 doctors weighed in
Dr. Bennett Werner
Internal Medicine - Cardiology
6 doctors agree

In brief: Judgement

There's no answer to your question.
No one has collected a series of 5, 000 people like you and tested the two options. This is where having a doctor whom you trust and who knows your history and all about you makes all the difference. (your question exemplifies why computers are never going to be able to practice medicine!).

In brief: Judgement

There's no answer to your question.
No one has collected a series of 5, 000 people like you and tested the two options. This is where having a doctor whom you trust and who knows your history and all about you makes all the difference. (your question exemplifies why computers are never going to be able to practice medicine!).
Dr. Bennett Werner
Dr. Bennett Werner
Thank
2 comments
Dr. Bennett Werner
At age 90, it's hard to make a case that slowing atherosclerosis will be helpful. Since there's no data, the preference of the patient rules entirely.
Dr. Bennett Werner
no - actually aspirin increases (doesn't decrease) the risk of hemorrhagic stroke (bleeding type stroke which is assoc with HTN) so I wouldn't take it for especially high blood pressure. (aspirin is only good for lowering the risk of clotting type strokes). Also, if BP is okay at rest, I wouldn't treat a spike from agitation - when they calm, BP may be too low which is even worse!
Dr. Luke Hermann
Emergency Medicine
6 doctors agree

In brief: Yes

Depending on the specifics baby Aspirin is close to as effective as stronger blood thinners (within a few percent of absolute risk) while being much less dangerous if head trauma occurs.

In brief: Yes

Depending on the specifics baby Aspirin is close to as effective as stronger blood thinners (within a few percent of absolute risk) while being much less dangerous if head trauma occurs.
Dr. Luke Hermann
Dr. Luke Hermann
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Dr. Gamal Boutros
Neurology
4 doctors agree

In brief: Yes

Aspirin protection for TIA is 10%, but also protect from heart attack--bleeding from Aspirin is not fatal like when Coumadin (warfarin) is used--rish o falling and injury exist with or without aspirin, but Aspirin itself rarely increase that risk-- but no Aspirin if there is a bleeding ulcer or low olatelets unless these are treated--ask pcp to clarify.

In brief: Yes

Aspirin protection for TIA is 10%, but also protect from heart attack--bleeding from Aspirin is not fatal like when Coumadin (warfarin) is used--rish o falling and injury exist with or without aspirin, but Aspirin itself rarely increase that risk-- but no Aspirin if there is a bleeding ulcer or low olatelets unless these are treated--ask pcp to clarify.
Dr. Gamal Boutros
Dr. Gamal Boutros
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