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Targeting patient blood management's first pillar: A multicentric retrospective study on preoperative anemia
Duarte, Gustavo de Carvalho; Ribeiro, Glaciano Nogueira; Moschen, Mariangela; Toledo, Rodrigo Spessotto Morais; Bordin, José Orlando; Langhi Junior, Dante Mario.
Afiliação
  • Duarte, Gustavo de Carvalho; H.Hemo Hemoterapia Brasil SA. São Paulo. BR
  • Ribeiro, Glaciano Nogueira; H.Hemo Hemoterapia Brasil SA. São Paulo. BR
  • Moschen, Mariangela; H.Hemo Hemoterapia Brasil SA. São Paulo. BR
  • Toledo, Rodrigo Spessotto Morais; H.Hemo Hemoterapia Brasil SA. São Paulo. BR
  • Bordin, José Orlando; H.Hemo Hemoterapia Brasil SA. São Paulo. BR
  • Langhi Junior, Dante Mario; H.Hemo Hemoterapia Brasil SA. São Paulo. BR
Hematol., Transfus. Cell Ther. (Impr.) ; 45(3): 338-341, July-Sept. 2023. tab
Article em En | LILACS-Express | LILACS | ID: biblio-1514171
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

Introduction:

Anemia is a common issue in surgical patients and has been associated with worse clinical outcomes, such as a higher probability of transfusions and longer hospital stay. Therefore, Patient Blood Management programs are actively aiming to achieve early identification and treatment of anemia, previous to the surgery. Methods and materials In this study, preoperative hemoglobin within the Blood Order Schedule (BOS) at 16 blood centers in several Brazilian regions were retrospectively evaluated. Data regarding hemoglobin, age, gender and Brazilian regions were further analyzed.

Results:

From the 20,201 BOSs evaluated, the mean age was 55.65 ± 23.52 years old, with an overall prevalence of preoperative anemia of 60.9%. Women had a lower mean preoperative hemoglobin (11.74 ± 2.84 for women and 12.27 ± 3.06 for men) and higher prevalence of anemia than men (66% of females and 52.2% of males). The individuals over 65 years old and under 18 were the most affected by preoperative anemia. All regions had a high prevalence of preoperative anemia, without any direct association with the Human Development Index.

Conclusion:

In summary, upon evaluating the BOS, our study showed a high prevalence of preoperative anemia in all Brazilian regions, regardless of the gender and age group, but that women and individuals less than 18 or over 65 years old have an even higher prevalence of preoperative anemia. This information can identify the institutions in which preoperative anemia is a critical issue and in which new strategies, such as preoperative screening clinics, might be helpful.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: En Revista: Hematol., Transfus. Cell Ther. (Impr.) Assunto da revista: Hematologia / TransfusÆo de Sangue Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Idioma: En Revista: Hematol., Transfus. Cell Ther. (Impr.) Assunto da revista: Hematologia / TransfusÆo de Sangue Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil