Neuroanesthesia & neurocritical care

Association Between Severe Anaemia and Outcome in Moderate and Severe Traumatic Brain Injury: A Retrospective Cohort Study

Acta Anaesthesiol ScandPublished Retrospective cohort study

Main finding · Unfavourable functional outcome (GOS 1 to 3)Result — go to the resultOdds ratio 4.06 95% CI 1.54–10.72

Authors' conclusion

Among patients with moderate to severe TBI, severe anaemia with an Hb level below 100 g/L during hospitalisation was independently associated with unfavourable functional outcome at hospital discharge.

Study context

Population
Successive patients admitted to Tampere University Hospital's ED with moderate to severe traumatic brain injury (TBI), August 2010 to July 2012severe anaemia in 45.5%
Participants
145 patients
Exposure
Severe anaemia vs no severe anaemia
Outcome
Glasgow Outcome Scale, dichotomized as poor (Glasgow Outcome Scale (GOS) 1 to 3) and good (GOS 4 to 5) outcome
Follow-up
Hospital discharge
Methodological detailssingle-centre
  • Single-centre

Main finding

Unfavourable functional outcome (GOS 1 to 3)

Odds ratio

4.06

95% CI 1.54–10.72

P = 0.005

By group

Severe anaemia vs No severe anaemia
OR 4.06 (95% CI 1.54–10.72); P = 0.005

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

Mortality · 3 months · univariate analysis

P = 0.028

Mortality · 6 months · univariate analysis

P = 0.048

Mortality · 12 months · univariate analysis

P = 0.011

Long-term mortality (multivariable analysis)

Severe anaemia not independently associated with higher long-term mortality

Original publication

Association Between Severe Anaemia and Outcome in Moderate and Severe Traumatic Brain Injury: A Retrospective Cohort Study. Acta Anaesthesiol Scand. Published 13 January 2026. doi:10.1111/aas.70181

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