The Problem of Anemia Associated with Traumatic Brain InjurySarah Travers1*, Christopher Wolf2 and Scott Litofsky N1
- *Corresponding Author:
- Scott Litofsky N
Division of Neurological Surgery
University of Missouri-Columbia School of Medicine
One Hospital Drive, MC 321, Columbia, Missouri 65212, USA
E-mail: [email protected]
Received date: November 24, 2016; Accepted date: December 05, 2016; Published date: December 07, 2016
Citation: Travers S, Wolf C, Litofsky NS (2016) The Problem of Anemia Associated with Traumatic Brain Injury. J Trauma Treat 5:347. doi:10.4172/2167-1222.1000347
Copyright: © 2016 Litofsky NS, et al. This is an open-access article distributed under the terms of the creative commons attribution license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Anemia following traumatic brain injury (TBI) is frequently encountered. A number of studies have shown negative effects on outcome with hemoglobin levels below 9 g/dL but no consensus has been reached in regards to what level of hemoglobin warrants blood transfusion. Some neurosurgical texts recommend transfusion for hemoglobin <10 g/dL despite lack of clear guidelines. While transfusion should theoretically prevent secondary insults from hypoxia, it may also increase morbidity and mortality. We discuss the factors creating confusion in the literature and offer an outline of prospective trial to determine the impact of anemia and transfusion on patient with moderate-tosevere TBI.