Evidence map›Paper›PMID 35220460›Full record

Observational studyActa neurochirurgica2022

Preoperative anaemia and red blood cell transfusion in patients with aneurysmal subarachnoid and intracerebral haemorrhage - a multicentre subanalysis of the German PBM Network Registry.

Elke Schmitt, Patrick Meybohm, Vanessa Neef, Peter Baumgarten, Alexandra Bayer, Suma Choorapoikayil, Patrick Friederich, Jens Friedrich, Christof Geisen, Erdem Güresir and 19 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Acta neurochirurgica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02147795 (Safety and Effectiveness of a Patient Blood Management), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02147795 unknown statusnot on this map

Safety and Effectiveness of a Patient Blood Management (PBM) Program in Surgical Patients

TypeobservationalSponsorJohann Wolfgang Goethe University HospitalRan2012 to 2025Enrolled1,000,000ConditionsClinical Safety of a PBM Program
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Effects of Different Hemoglobin Levels on Near-Infrared Spectroscopy-Derived Cerebral Oxygen Saturation in Elderly Patients Undergoing Noncardiac Surgery.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2023
    Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors at 14 institutions in 1 country.

Elke SchmittDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Patrick MeybohmDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany. meybohm_p@ukw.de.ORCID 0000-0002-2666-8696
Vanessa NeefDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Peter BaumgartenDepartment of Neurosurgery, University Hospital Frankfurt, Frankfurt am Main, Germany.
Alexandra BayerDepartment of Anesthesiology and Intensive Care Medicine, Krankenhaus Agatharied, Hausham, Academic Teaching Hospital of the Ludwig-Maximilians University of Munich, Munich, Germany.
Suma ChoorapoikayilDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Patrick FriederichDepartment of Anesthesiology, Operative Intensive Care Medicine and Pain Therapy, München Klinik Bogenhausen, Munich, Germany.
Jens FriedrichDepartment of Anesthesiology and Operative Intensive Care Medicine, Klinikum Leverkusen, Leverkusen, Germany.
Christof GeisenGerman Red Cross, Institute for Transfusion Medicine and Immunohematology, German Red Cross Baden-Wuertemberg - Hessen, Goethe University Frankfurt, Frankfurt am Main, Germany.
Erdem GüresirDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Matthias GrünewaldDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Kiel, Germany.
Martin GutjahrDepartment of Anesthesiology, Marienhaus Klinikum St. Wendel-Ottweiler, Ottweiler, Germany.
Philipp HelmerDepartment of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Wuerzburg, Wuerzburg, Germany.
Eva HerrmannInstitute of Biostatistics and Mathematical Modelling, Department of Medicine, Goethe University, Frankfurt, Germany.
Markus MüllerGerman Red Cross, Institute for Transfusion Medicine and Immunohematology, German Red Cross Baden-Wuertemberg - Hessen, Goethe University Frankfurt, Frankfurt am Main, Germany.
Diana NaritaInstitute for Laboratory Diagnostics and Transfusion Medicine, DonauIsar Klinikum, Deggendorf/Dingolfing/Landau, Germany.
Ansgar RaadtsDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Jena, Jena, Germany.
Klaus SchwendnerDepartment of Anesthesiology and Operative Intensive Care Medicine, Diakonie hospital Martha-Maria, Nuremberg, Germany.
Erhard SeifriedGerman Red Cross, Institute for Transfusion Medicine and Immunohematology, German Red Cross Baden-Wuertemberg - Hessen, Goethe University Frankfurt, Frankfurt am Main, Germany.
Patrick StarkDepartment of Vascular Surgery, Katholisches Klinikum Koblenz, Koblenz, Germany.
Andrea U SteinbickerDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
Josef ThomaDepartment of Anesthesiology and Operative Intensive Care Medicine, Ortenau Klinikum Offenburg-Kehl, Offenburg, Germany.
Markus VeltenDepartment of Anaesthesiology and Operative Intensive Care Medicine, University Hospital Bonn, Bonn, Germany.
Henry WeigtDepartment of Anesthesiology, SLK-Kliniken, Heilbronn, Germany.
Christoph WiesenackDepartment of Anesthesiology, Protestant Deaconess Hospital Freiburg, Freiburg, Germany.
Maria WittmannDepartment of Anaesthesiology and Operative Intensive Care Medicine, University Hospital Bonn, Bonn, Germany.
Kai ZacharowskiDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany. kai.zacharowski@kgu.de.
Florian PiekarskiDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.
German PBM Network Collaborators
Goethe University Frankfurt · DEUniversity Hospital Bonn · DEDeggendorf Institute of Technology · DEJena University Hospital · DEKatholisches Klinikum Koblenz · DEKlinikum Leverkusen · DEKrankenhaus Agatharied · DEMartha-Maria Hospital · DEMünchen Klinik Bogenhausen · DEOrtenau Klinikum · DEProtestant University of Applied Sciences Freiburg · DESLK-Kliniken Heilbronn · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnaemia is common in patients presenting with aneurysmal subarachnoid (aSAH) and intracerebral haemorrhage (ICH). In surgical patients, anaemia was identified as an idenpendent risk factor for postoperative mortality, prolonged hospital length of stay (LOS) and increased risk of red blood cell (RBC) transfusion. This multicentre cohort observation study describes the incidence and effects of preoperative anaemia in this critical patient collective for a 10-year period.

methodsThis multicentre observational study included adult in-hospital surgical patients diagnosed with aSAH or ICH of 21 German hospitals (discharged from 1 January 2010 to 30 September 2020). Descriptive, univariate and multivariate analyses were performed to investigate the incidence and association of preoperative anaemia with RBC transfusion, in-hospital mortality and postoperative complications in patients with aSAH and ICH.

resultsA total of n = 9081 patients were analysed (aSAH n = 5008; ICH n = 4073). Preoperative anaemia was present at 28.3% in aSAH and 40.9% in ICH. RBC transfusion rates were 29.9% in aSAH and 29.3% in ICH. Multivariate analysis revealed that preoperative anaemia is associated with a higher risk for RBC transfusion (OR = 3.25 in aSAH, OR = 4.16 in ICH, p < 0.001), for in-hospital mortality (OR = 1.48 in aSAH, OR = 1.53 in ICH, p < 0.001) and for several postoperative complications.

conclusionsPreoperative anaemia is associated with increased RBC transfusion rates, in-hospital mortality and postoperative complications in patients with aSAH and ICH.

trial registrationClinicalTrials.gov , NCT02147795, https://clinicaltrials.gov/ct2/show/NCT02147795.

Indexed as

AnemiaSubarachnoid HemorrhageAdultCerebral HemorrhageErythrocyte TransfusionHumansRegistriesStreptothricinsphytobacteriomycinStreptothricinsAnaemiaAneurysmal subarachnoid haemorrhageIntracerebral haemorrhagePatient blood managementRed blood cell transfusion

Identifiers

PMID35220460
PMCPMC8967742
OpenAlexW4214492745

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.