Präoperativer Eisenmangel mit/ohne Anämie – ein unterschätzter Risikofaktor?

Meybohm, Patrick; Neef, Vanessa; Westphal, Sabine; Schnitzbauer, Andreas A.; Röder, Daniel; Schlegel, Nicolas; Zacharowski, Kai

doi:10.1007/s00104-019-01037-1

Cited by 4 publications

(3 citation statements)

References 24 publications

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Section: Introductionmentioning

confidence: 99%

“…Despite the proven negative effects of preoperative anaemia, its diagnosis and treatment are undervalued in routine clinical practice [ 8 , 13 ]. Preoperative anaemia is still seen merely as an indicator of the severity of the underlying disease, and the treatment options are not yet sufficiently known to all treatment providers [ 13 ]. In particular, considering the ease of preoperative diagnosis and treatment [ 7 ] of IDA, it is surprising that current standards are only present at individual hospitals [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Preoperative anaemia in distal pancreatectomy: a propensity-score matched analysis

Radulova-Mauersberger,

von Bechtolsheim,

Teske

et al. 2024

Langenbecks Arch Surg

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Background Preoperative anaemia is a prevalent morbidity predictor that adversely affects short- and long-term outcomes of patients undergoing surgery. This analysis aimed to investigate preoperative anaemia and its detrimental effects on patients after distal pancreatectomy. Material and methods The present study was a propensity-score match analysis of 286 consecutive patients undergoing distal pancreatectomy. Patients were screened for preoperative anaemia and classified according to WHO recommendations. The primary outcome measure was overall morbidity. The secondary endpoints were in-hospital mortality and rehospitalization. Results The preoperative anaemia rate before matching was 34.3% (98 patients), and after matching a total of 127 patients (non-anaemic 42 vs. anaemic 85) were included. Anaemic patients had significantly more postoperative major complications (54.1% vs. 23.8%; p < 0.01), a higher comprehensive complication index (26.2 vs. 4.3; p < 0.01), and higher in-hospital mortality rate (14.1% vs. 2.4%; p = 0.04). Multivariate regression analysis confirmed these findings and identified preoperative anaemia as a strong independent risk factor for postoperative major morbidity (OR 4.047; 95% CI: 1.587–10.320; p < 0.01). Conclusion The current propensity-score matched analysis strongly considered preoperative anaemia as a risk factor for major complications following distal pancreatectomy. Therefore, an intense preoperative anaemia workup should be increasingly prioritised.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preoperative anaemia in distal pancreatectomy: a propensity-score matched analysis

Radulova-Mauersberger,

von Bechtolsheim,

Teske

et al. 2024

Langenbecks Arch Surg

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“…Периоперационная анемия является доказанным фактором риска заболеваемости и смертности при всех видах хирургических вмешательств, а также со провождает около двух третей пациентов в отделени ях реанимации и интенсивной терапии, увеличивая тяжесть состояния и длительность пребывания [2][3][4][5].…”

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Perioperative iron deficiency anemia in obstetrics. Possibilities of prevention and correction. Review

Kulikov

Shifman

Matkovsky

et al. 2020

Annals of Critical Care

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In the review diagnostics and correction of iron deficiency anemia (IDA) is considered during pregnancy and in the perioperative period within the concept of “patient blood management”. Features of diagnosis of anemia and verification of an iron deficiency (ID) are discussed during pregnancy, correction stages with use of oral and intravenous iron, transfusion erythrocytes and reinfusion of blood. Data on advantage of intravenous iron to correction of ID and IDA are provided during pregnancy and in the perioperative period.

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Perioperative Hämotherapie/Patient-Blood-Management-Konzept

Grundmann

Kues

2021

Evidenzbasiertes Perioperatives Management in Der Viszeralchirurgie

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Präoperativer Eisenmangel mit/ohne Anämie – ein unterschätzter Risikofaktor?

Cited by 4 publications

References 24 publications

Preoperative anaemia in distal pancreatectomy: a propensity-score matched analysis

Preoperative anaemia in distal pancreatectomy: a propensity-score matched analysis

Perioperative iron deficiency anemia in obstetrics. Possibilities of prevention and correction. Review

Perioperative Hämotherapie/Patient-Blood-Management-Konzept

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