Higher haemoglobin levels and dedicated @entity130 admission are associated with survival after severe XXXX .

@entity1545 @entity1 @entity131 @entity130
BACKGROUND: Prevention of secondary @entity1545 is a key component of acute management of @entity1 with severe @entity131 ( @entity131 ). Haemoglobin concentration may have an impact on optimization of cerebral oxygenation. @entity1 with @entity131 may best be served by an organized @entity130 service. The objective is to determine if haemoglobin concentration or dedicated @entity130 admission has an impact on outcomes after severe @entity131 . METHODS: This study retrospectively analysed consecutive @entity1 with severe @entity131 admitted to a level-I @entity130 centre over 3 years. @entity1 <16 years-old and with length of stay (LOS) <24 hours were excluded. Data were collected on demographics; injury severity; LOS; admission service; survival to discharge; and haemoglobin levels from hospital days 1-7. Data were also collected on number of transfusions of packed red blood cells. The sample was stratified based on admission service and survival to discharge. RESULTS: Of 147 @entity1 (age   =   54.1        3.7 years), overall mortality rate was 15.4% (n   =   23). Overall, non-survivors had lower daily and 7-day mean haemoglobin levels (10.7        0.9 vs. 12.9        0.4   g   dL(-1), p   <   0.001). Non-surgical admissions had lower haemoglobin levels and a higher mortality rate (28.9% vs. 12.2%, p   <   0.001) compared to dedicated @entity130 admissions. CONCLUSIONS: Among @entity1 with severe @entity131 , higher haemoglobin levels and maintenance as a dedicated @entity130 admission are associated with higher survival to discharge.
