Trauma & major bleeding

Association between anemia and trauma-related severe acute kidney injury in trauma patients at risk of major bleeding: A post-hoc analysis of the RESTRIC trial

J Crit CarePublished Secondary analysis of the RESTRIC randomised trial

Primary result · Trauma-related severe AKIResult — go to the resultAdjusted odds ratio 3.9 95 % CI 1.2–12.9

Authors' conclusion

Anemia at ED admission might be associated with trauma-related AKI in trauma patients at risk of major bleeding.

Study context

Population
Trauma patients at risk of major bleeding (RESTRIC trial), excluding chronic hemodialysisfinal study population
Participants
417 patients
Comparison
Anemia vs no anemia at emergency department (ED) admission
  • Anemian = 63
Primary endpoint
Trauma-related severe AKI (KDIGO Stage 3)
Follow-up
Within 7 days of admission
Methodological detailspost-hoc analysis, retrospective, cluster-randomized, crossover, multicenter, propensity score-adjusted multivariate logistic regression
  • Post-hoc analysis
  • Retrospective
  • Cluster-randomized
  • Crossover
  • Multicenter
  • Propensity score-adjusted multivariate logistic regression

Primary result

Trauma-related severe AKI

Adjusted odds ratio

3.9

95 % CI 1.2–12.9

P = 0.029

Anemia vs No anemia
aOR 3.9 (95 % CI 1.2–12.9); P = 0.029

As reported in the abstract

Trauma-related severe acute kidney injury (AKI), all patients
15 (3.6 %)

Original publication

Association between anemia and trauma-related severe acute kidney injury in trauma patients at risk of major bleeding: A post-hoc analysis of the RESTRIC trial. J Crit Care. Published 24 November 2025. doi:10.1016/j.jcrc.2025.155364

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