Low hemoglobin is associated with poor functional outcome after non-traumatic, supratentorial intracerebral hemorrhage.
Crit Care
; 14(2): R63, 2010.
Article
em En
| MEDLINE
| ID: mdl-20398266
ABSTRACT
INTRODUCTION:
The impact of anemia on functional outcome and mortality in patients suffering from non-traumatic intracerebral hemorrhage (ICH) has not been investigated. Here, we assessed the relationship between hemoglobin (HB) levels and clinical outcome after ICH.METHODS:
One hundred and ninety six patients suffering from supratentorial, non-traumatic ICH were extracted from our local stroke database (June 2004 to June 2006). Clinical and radiologic computed tomography data, HB levels on admission, mean HB values and nadir during hospital stay were recorded. Outcome was assessed at discharge and 3 months using the modified Rankin score (mRS).RESULTS:
Forty six (23.5%) patients achieved a favorable functional outcome (mRSCONCLUSIONS:
We report an association between low HB and poor outcome in patients with non-traumatic, supratentorial ICH. While a causal relationship could not be proven, previous experimental studies and studies in brain injured patients provide evidence for detrimental effects of anemia on brain metabolism. However, the potential risk of anemia must be balanced against the risk of harm from red blood cell infusion.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hemoglobinas
/
Hemorragia Cerebral
/
Recuperação de Função Fisiológica
/
Anemia
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Crit Care
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Alemanha