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70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12.05. - 15.05.2019, Würzburg

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Blood transfusion in patients with spontaneous subarachnoid haemorrhage and clinical outcome

Bluttransfusion bei Patienten mit spontaner Subarachnoidalblutung und deren klinisches Outcome

Meeting Abstract

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  • presenting/speaker Simon Brandecker - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Alexis Hadjiathanasiou - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Tamara Yasmin Kern - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Ági Güresir - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Patrick Schuss - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Hartmut Vatter - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland
  • Erdem Güresir - Universitätsklinikum Bonn, Klinik und Poliklinik für Neurochirurgie, Bonn, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie. Würzburg, 12.-15.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. DocV099

doi: 10.3205/19dgnc114, urn:nbn:de:0183-19dgnc1147

Veröffentlicht: 8. Mai 2019

© 2019 Brandecker et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: Aim of this study was to analyse the association between receiving a blood transfusion within the first 4 days after spontaneous subarachnoid hemorrhage (SAH) and the risk of unfavorable outcome.

Methods: Between 10/2012 and 01/2018 a total number of 533 patients with spontaneous subarachnoid hemorrhage (SAH) was treated at our institution. Patient data were prospectively entered in a computerized database. We retrospectively analysed the association between receiving a blood transfusion in the first 4 days after ictus and clinical outcome.

Results: Of the 533 patients with spontaneous SAH treated at our institution between 10/2012 and 01/2018, 133 patients (25%) received a blood transfusion while their initial hospital stay, of which 64 patients (12%) received the transfusion within the first 4 days after ictus. Patients, who received blood transfusion within 4 days had higher SAH grades according to Hunt & Hess (73% vs 23%, p=0.001). In patients without a blood transfusion in the first 4 days after ictus, the incidence of developing cerebral vasospasm was 37% (173 out of 469 patients), versus 55% (35 out of 64 patients) in patients who received a blood transfusion within the first 4 days (p=0.009). Outcome at 6 months did differ significantly between patients who received blood transfusion within 4 days versus patients with no transfusion within 4 days (mRs: 5±2 vs. 2±2, p=0.0001). In the multivariate analysis, blood transfusion within 4 days, H&H grades and cerebral vasospasm were predictors for poor outcome after 6 months.

Conclusion: In the present study, blood transfusion within 4 days seems to be a predictor for poor outcome after spontaneous SAH.