{"id":2780,"date":"2024-09-10T18:28:35","date_gmt":"2024-09-10T16:28:35","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=2780"},"modified":"2024-09-10T18:28:35","modified_gmt":"2024-09-10T16:28:35","slug":"manejo-de-la-anemia-en-pacientes-con-traumatismo-craneoencefalico-grave","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2024\/09\/10\/manejo-de-la-anemia-en-pacientes-con-traumatismo-craneoencefalico-grave\/","title":{"rendered":"Manejo de la anemia en pacientes con traumatismo craneoencef\u00e1lico grave"},"content":{"rendered":"

El New England Journal of Medicine<\/a> acaba de publicar un trabajo que analiza si el papel de un r\u00e9gimen transfusional liberal frente al restrictivo pueden cambiar el resultado obtenido en el tratamiento de pacientes con traumatismo craneoencef\u00e1lico grave.<\/p>\n\n\n\n

Se trata de un ensayo cl\u00ednico en el que fueron incluidos m\u00e1s de 700 pacientes asignados de forma aleatoria a un grupo de tratamiento restrictivo en el que se indicaba transfusi\u00f3n por debajo de un valor de Hemoglobina de 7g\/dl frente a un grupo liberal en el que la transfusi\u00f3n estuvo indicada por debajo de 10g\/dl de Hemoglobina. Los resultados se establecieron en funci\u00f3n de la puntuaci\u00f3n en la escala GOS a los 6 meses.<\/p>\n\n\n\n

Los autores observaron un resultado desfavorable en el 73,5% de los pacientes con un r\u00e9gimen restrictivo frente al 68,4% de los pacientes con r\u00e9gimen transfusional liberal. Esta diferencia no fue considerada significativa desde el punto de vista estad\u00edstico por lo que concluyeron en que no exist\u00edan diferencias entre los dos grupos en el resultado obtenido.<\/p>\n\n\n\n

Fuente: <\/strong>Turgeon AF, Fergusson DA, Clayton L, Patton MP, Neveu X, Walsh TS, Docherty A, Malbouisson LM, Pili-Floury S, English SW, Zarychanski R, Moore L, Bonaventure PL, Laroche V, Verret M, Scales DC, Adhikari NKJ, Greenbaum J, Kramer A, Rey VG, Ball I, Khwaja K, Wise M, Harvey D, Lamontagne F, Chabanne R, Algird A, Krueper S, Pottecher J, Zeiler F, Rhodes J, Rigamonti A, Burns KEA, Marshall J, Griesdale DE, Sisconetto LS, Kutsogiannis DJ, Roger C, Green R, Boyd JG, Wright J, Charbonney E, Nair P, Astles T, Sy E, H\u00e9bert PC, Chass\u00e9 M, Gomez A, Ramsay T, Taljaard M, Fox-Robichaud A, Tinmouth A, St-Onge M, Costerousse O, Lauzier F; HEMOTION Trial Investigators on behalf of the Canadian Critical Care Trials Group, the Canadian Perioperative Anesthesia Clinical Trials Group, and the Canadian Traumatic Brain Injury Research Consortium. Liberal or Restrictive Transfusion Strategy in Patients with Traumatic Brain Injury. N Engl J Med. 2024 Aug 22;391(8):722-735.\u00a0<\/strong><\/a><\/p>","protected":false},"excerpt":{"rendered":"

El New England Journal of Medicine acaba de publicar un trabajo que analiza si el papel de un r\u00e9gimen transfusional liberal frente al restrictivo pueden cambiar el resultado obtenido en el tratamiento de pacientes con traumatismo craneoencef\u00e1lico grave. Se trata de un ensayo cl\u00ednico en el que fueron incluidos m\u00e1s de 700 pacientes asignados de…<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1771],"tags":[],"class_list":["post-2780","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-IQ","jetpack-related-posts":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2780","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=2780"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2780\/revisions"}],"predecessor-version":[{"id":2782,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/2780\/revisions\/2782"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=2780"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=2780"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=2780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}