{"id":3021,"date":"2024-12-22T10:35:34","date_gmt":"2024-12-22T09:35:34","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=3021"},"modified":"2024-12-22T10:35:34","modified_gmt":"2024-12-22T09:35:34","slug":"influye-el-regimen-transfusional-en-el-resultado-de-la-hemorragia-subaracnoidea-espontanea-resultados-de-un-ensayo-clinico","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2024\/12\/22\/influye-el-regimen-transfusional-en-el-resultado-de-la-hemorragia-subaracnoidea-espontanea-resultados-de-un-ensayo-clinico\/","title":{"rendered":"\u00bfInfluye el r\u00e9gimen transfusional en el resultado de la hemorragia subaracnoidea espont\u00e1nea? Resultados de un ensayo cl\u00ednico"},"content":{"rendered":"<p class=\"has-text-align-center wp-block-paragraph\">La revista <a href=\"https:\/\/www.nejm.org\/\">New England Journal of Medicine <\/a>acaba de publicar los resultados de un ensayo cl\u00ednico multic\u00e9ntrico en el que analiz\u00f3 en qu\u00e9 medida establecer un punto de corte m\u00e1s o menos laxo a la hora de llevar a cabo transfusi\u00f3n de hemat\u00edes para el tratamiento de la anemia en pacientes con hemorragia subaracnoidea espontanea puede influir en el resultado cl\u00ednico obtenido.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Se incluyeron 742 pacientes pertenecientes a 42 centros asistenciales repartidos a lo largo del mundo. Los pacientes fueron aleatorizados a un grupo en el que se aplic\u00f3 un r\u00e9gimen transfusional laxo con valores de corte de Hemoglobina inferiores a 10g\/dl, mientra que a la otra mitad de pacientes se le aplic\u00f3 un r\u00e9gimen transfusional restrictivo con valores de corte de Hemoglobina inferiores a 8g\/dl para indicar la transfusi\u00f3n.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">No se observaron diferencias estad\u00edsticamente significativas entre ambos grupos en el resultado cl\u00ednico obtenido en la escala Glasgow Outcome Scale (GOS): 33,5% de pacientes obtuvieron un resultado desfavorable en el grupo de r\u00e9gimen transfusional liberal frente a 37,7% en el grupo de r\u00e9gimen transfusional restrictivo. Tampoco se observaron diferencias significativas en las escalas de calidad de vida.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">Los autores concluyeron que un r\u00e9gimen transfusional liberal en la hemorragia subaracnoidea espont\u00e1nea no est\u00e1 asociado a mejores resultados cl\u00ednicos en comparaci\u00f3n con un r\u00e9gimen transfusional restrictivo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fuente:<\/strong><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2410962\"><strong> <\/strong>English SW, Delaney A, Fergusson DA, Chass\u00e9 M, Turgeon AF, Lauzier F, Tuttle A, Sadan O, Griesdale DE, Redekop G, Chapman M, Hannouche M, Kramer A, Seppelt I, Udy A, Kutsogiannis DJ, Zarychanski R, D&#8217;Aragon F, Boyd JG, Salt G, Bellapart J, Wood G, Cava L, Pickett G, Koffman L, Watpool I, Bass F, Hammond N, Ramsay T, Mallick R, Scales DC, Andersen CR, Fitzgerald E, Talbot P, Dowlatshahi D, Sinclair J, Acker J, Marshall SC, McIntyre L; SAHARA Trial Investigators on behalf of the Canadian Critical Care Trials Group. Liberal or Restrictive Transfusion Strategy in Aneurysmal Subarachnoid Hemorrhage. N Engl J Med. 2024 Dec 9.\u00a0<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>La revista New England Journal of Medicine acaba de publicar los resultados de un ensayo cl\u00ednico multic\u00e9ntrico en el que analiz\u00f3 en qu\u00e9 medida establecer un punto de corte m\u00e1s o menos laxo a la hora de llevar a cabo transfusi\u00f3n de hemat\u00edes para el tratamiento de la anemia en pacientes con hemorragia subaracnoidea espontanea&#8230;<\/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-3021","post","type-post","status-publish","format-standard","hentry","category-sin-categoria"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-MJ","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3021","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=3021"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3021\/revisions"}],"predecessor-version":[{"id":3023,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/3021\/revisions\/3023"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=3021"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=3021"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=3021"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}