Preoperative Anemia Management: What’s New in 2020?

Rubinger, Daniel A.; Cahill, Christine; Ngo, Andy; Gloff, Marjorie; Refaai, Majed A.

doi:10.1007/s40140-020-00385-7

Cited by 6 publications

(8 citation statements)

References 86 publications

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“…Today, there are studies evaluating the effects of easily observable laboratory parameters on postoperative morbidity and mortality, as well as markers such as age, BMI, accompanying comorbidities, and Euroscore which are widely used in the middle age group [4,[6][7][8][9] . It has been emphasized that the presence of preoperative anemia (<13g / dl regardless of gender) is a very strong indicator of mortality in surgical patients [10][11][12] . It has been reported that 16-54% of patients undergoing cardiac surgery suffer anemia [13] , and most cases have resulted from iron deficiency [10,14] .…”

Section: Discussionmentioning

confidence: 99%

“…It has been emphasized that the presence of preoperative anemia (<13g / dl regardless of gender) is a very strong indicator of mortality in surgical patients [10][11][12] . It has been reported that 16-54% of patients undergoing cardiac surgery suffer anemia [13] , and most cases have resulted from iron deficiency [10,14] . In elderly patients, preoperative anemia may develop mostly due to malnutrition, malabsorption, bone marrow dysfunction , or chronic blood loss.…”

Section: Discussionmentioning

confidence: 99%

“…It is also stated that it causes an increase in mortality, length of hospital stays, and cost [15,16] . In a study by Spahn et al [10] , it was observed that simply administering intravenous iron treatment to elderly patients with iron deficiency anemia the day before surgery had a positive impact on postoperative results. Elective surgeries are recommended to be postponed for 2-3 weeks in elderly patients with iron deficiency meanwhile filling iron stores with intravenous iron preparations since adequate absorption cannot be achieved with oral supplements during this period [7,10] .…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Spahn et al [10] , it was observed that simply administering intravenous iron treatment to elderly patients with iron deficiency anemia the day before surgery had a positive impact on postoperative results. Elective surgeries are recommended to be postponed for 2-3 weeks in elderly patients with iron deficiency meanwhile filling iron stores with intravenous iron preparations since adequate absorption cannot be achieved with oral supplements during this period [7,10] . In our study, the presence of preoperative and postoperative anemia was found to be associated with postoperative complications and 30-day mortality.…”

Section: Discussionmentioning

confidence: 99%

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Morbidity and Mortality Markers in Elderly Patients with Cardiovascular Surgery

Özay¹,

Salman²,

Demir³

et al. 2021

GKDA Derg

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Objective: In recent years, as a result of increased average longevity, the number of hospitalized elderly patients has been increasing. Today, although many parameters are used to determine the prognosis of hospitalized patients, more specific information about elderly patients is required. This study aims to investigate the effect of preoperative and postoperative parameters on postoperative complications and mortality among patients aged 65 and over who underwent cardiovascular surgery. Methods: Demographic data, preoperative and postoperative hemoglobin, neutrophil/lymphocyte ratio, mean platelet volume, erythrocyte distribution width, platelet, glucose, urea, creatinine, albumin values and postoperative data were recorded. Results: When the preoperative risk factors for postoperative complications and mortality were evaluated, low preoperative hemoglobin and albumin values and high blood urea and glucose levels were statistically significant (p <0.005). Low postoperative hemoglobin, albumin values, platelet counts, and and high glucose, urea and creatinine values were found to be significant markers of postoperative complications (p <0.005). When preoperative risk factors were evaluated in terms of postoperative 30-day mortality, preoperatively decreased hemoglobin and albumin, increased urea , decreased postoperative hemoglobin, albumin levels, platelet counts, and increased glucose, urea and creatinine values were statistically significant (p <0.005). Conclusion:We believe that closely monitoring the nutritional status of elderly patients, providing them with dietary supplementation for deficient parameters, and keeping blood glucose, urea, and creatinine at optimum levels could help us to decrease hospital stay, mortality-morbidity, and total economic cost.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Morbidity and Mortality Markers in Elderly Patients with Cardiovascular Surgery

Özay¹,

Salman²,

Demir³

et al. 2021

GKDA Derg

View full text Add to dashboard Cite

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“…Hastaların preoperatif değerlendirmesi açısından demografik verilerinin (yaş, vücut kitle indeksi, cinsiyet) yanı sıra American Society of Anesthesiologists (ASA) sınıflaması, komorbiteleri (diyabetes mellitus, hipertansiyon, kronik obstrüktif akciğer hastalığı vb. ), sigara ve alkol kullanımı, tümör orjini (gastrointestinal sistem-GIS, over, peritoneal), preoperatif kreatinin ve anemi (cinsiyet fark etmeksizin hemoglobin (Hb)<13 mg dL -1 ) (11) varlığı araştırılmıştır.…”

Section: Gereç Ve Yöntemunclassified

The Effect Of Intraoperative Restrictive Fluid Therapy On Postoperative Outcomes In Patients Undergoing Hyperthermic Intraperitoneal Chemotherapy

Özay¹,

Salman²,

Bölükbaşı³

et al. 2021

Jarss

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INTRODUCTION: Hyperthermic intraperitoneal chemotherapy (HIPEC) and cytoreductive surgery (CRC) are effective multimodal treatment options in patients with peritoneal carcinomatosis. Procedures are long-lasting operations with excessive blood and fluid loss. Intraoperative fluid management is very important because of major hemodynamic, respiratory and metabolic changes. This study aims to investigate the effect of intraoperative restrictive fluid therapy on postoperative outcome in patients undergoing HIPEC and SRS. METHODS: Patients who underwent HIPEC and SRS in our clinic between 2014-2018 were included in the study. The demographic, intraoperative and postoperative data of all patients were retrospectively analyzed. The patients who underwent restrictive fluid replacement were named Group R, and the group with liberal fluid replacement was named Group L. RESULTS: It was observed that the mean age was 54.6 ± 11.4 years, the female gender was 60.5% and the malignancy originating from the gastrointestinal system was 76.3%. There was no effect of liberal and restrictive fluid treatments on postoperative minor and major complications, length of stay in hospital and intensive care, and mortality. DISCUSSION AND CONCLUSION: We concluded that intraoperative restrictive fluid therapy did not affect postoperative complications and mortality in HIPEC and SRS surgeries.

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