Anemia worsens prognosis for insult
The anemia worsens the prognosis for insult patients.
From 250 patients with an ischemic insult observed by Dr. Mads Nybo and colleagues (the Copenhagen University Clinic, Denmark), 37 (15 %) suffered anemia. Average levels of N-terminal pro-brain natriuretic peptide, NT-pro-BNP, measured in 3 days after insult development, were above at persons with an anemia, than without it: 360 against 232 PG /ml, accordingly.
Age, sex, impaired cardial function and renal insufficiency explained 41 % of NT-pro-BNP levels variability. Patients with an anemia were more senior (middle age 73 years against 68 years) and had heavier insult: Scandinavian Stroke Scale 44 points against 48. Besides patients with an anemia smoked less often, they also less often had hypertension and renal insufficiency.
During 6 months of the observation 23 patients (9.2 %), including 8 with an anemia (37 %) and 15 without it (7.6 %) have died. Authors mark, that it is necessary to specify in the future, whether the treatment of an anemia started in hospital allows to improve the prognosis for insult patients.