The prevalence of anaemia, hypochromia and microcytosis in preoperative cardiac surgical patients
| Autor: | Romi Sinha, O David, Kathryn Robinson, David Cardone |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Erythrocyte Indices
Male medicine.medical_specialty Blood transfusion Erythrocytes Databases Factual Anemia medicine.medical_treatment Critical Care and Intensive Care Medicine Gastroenterology Preoperative care Cohort Studies Hemoglobins Internal medicine Preoperative Care medicine Humans Blood Transfusion Cardiac Surgical Procedures Coronary Artery Bypass Aged Retrospective Studies Heart Valve Prosthesis Implantation Anemia Iron-Deficiency business.industry RED-CELL INDICES Microcytosis Age Factors Retrospective cohort study Middle Aged medicine.disease Hematologic Diseases Cardiac surgery Anesthesiology and Pain Medicine Hypochromia Erythrocyte Count Female business |
| Zdroj: | Anaesthesia and intensive care. 41(3) |
| ISSN: | 0310-057X |
| Popis: | This retrospective study aimed to determine the prevalence of preoperative anaemia, hypochromia and microcytosis in cardiac surgery patients. Data was analysed for 943 patients (over a two-year period) undergoing coronary artery bypass graft, valve or combined coronary artery bypass graft and valve surgery at a tertiary hospital in South Australia. Overall prevalence of preoperative anaemia was 25.2%, greater in males than females (27.6 vs 19.9%, P0.01). Of patients with preoperative anaemia, 19.3% had reduced red cell indices (mean corpuscular haemoglobin and/or mean corpuscular volume) compared to 4% of patients without anaemia. The proportion of anaemic patients with low red cell indices was significantly higher in women50 years and 50-65 years, compared to those65 years of age (P=0.003). Anaemic patients with low red cell indices had lower preoperative haemoglobin than anaemic patients without low red cell indices (median haemoglobin 112 vs 120 g/l, P=0.008). Compared to non-anaemic patients, anaemic patients had higher transfusion rates (79.8 vs 46.4%, P0.0001), which were greater in those with reduced red cell indices compared to those with normal red cell indices (93.5 vs 76.6%, P=0.01). This study demonstrated a high prevalence of preoperative anaemia, microcytosis and hypochromia in cardiac surgical patients. |
| Databáze: | OpenAIRE |
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