Article
Surgery
Magnus Ploug, Rasmus Kroijer, Niels Qvist, Torben Knudsen
Summary: This study reports on the experience with preoperative i.v. iron treatment in surgical colorectal cancer patients in clinical practice. The results showed that preoperative i.v. iron treatment was neither associated with a rise in Hb concentrations at the time of surgery, nor with a reduction in the likelihood of receiving perioperative RBCT in colorectal cancer patients with iron deficiency anemia.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Anesthesiology
Bing-Cheng Zhao, Shao-Hui Lei, Jia-Ming Liu, Shi-Da Qiu, Zhi-Wen Yao, Jian Liu, Fan Deng, Zhi-Hao Li, Ke-Xuan Liu
Summary: Preoperative anemia is associated with an increased risk of complications or mortality after elective noncardiac surgery in both men and women, with no differences in the strength of associations between sexes.
ANESTHESIA AND ANALGESIA
(2023)
Article
Medicine, General & Internal
Jie Lin, Chao Wang, Junting Liu, Yang Yu, Shufang Wang, Aiqing Wen, Jufeng Wu, Long Zhang, Futing Sun, Xiaojun Guo, Fenghua Liu, Hailan Li, Na Li, Haibao Wang, Yi Lv, Zhonghua Jia, Xiaoyan Li, Jun Zhang, Zunyan Li, Shanshan Liu, Shuhuai Zhong, Jun Yang, Shuxuan Ma, Lingling Zhou, Xiaozhen Guan, Chunya Ma, Shijun Cheng, Shengxiong Chen, Zhenhua Xu, Gang Li, Deqing Wang
Summary: This study found that preoperative anemia is relatively prevalent in China, with certain demographic and geographical factors influencing the likelihood of developing high-risk preoperative anemia. Patients with preoperative anemia may receive blood transfusions and anemia-related medications, and those with lower preoperative hemoglobin levels are associated with longer hospital stays and higher healthcare costs.
Review
Multidisciplinary Sciences
Daniel Lopez de Romana, Alison Mildon, Jenna Golan, Maria Elena D. Jefferds, Lisa M. Rogers, Mandana Arabi
Summary: Anemia remains a major public health problem, especially in low- and middle-income countries. The World Health Organization recommends several interventions to prevent and manage anemia in vulnerable population groups. These interventions include iron supplementation, micronutrient powders, fortification of flour, and non-nutrition-related interventions such as malaria treatment and deworming. Promising interventions for anemia prevention include vitamin A supplementation, multiple micronutrient supplementation, lipid-based supplements, and fortification of salt. Future research is needed to address efficacy and safety of supplementation formulations and investigate the effectiveness of integrating control programs for various diseases.
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES
(2023)
Review
Surgery
Aryeh Shander, Howard L. Corwin, Jens Meier, Michael Auerbach, Elvira Bisbe, Jeanna Blitz, Jochen Erhard, David Faraoni, Shannon L. Farmer, Steven M. Frank, Domenico Girelli, Tiffany Hall, Jean-Francois Hardy, Axel Hofmann, Cheuk-Kwong Lee, Tsin W. Leung, Sherri Ozawa, Jameela Sathar, Donat R. Spahn, Rosalio Torres, Matthew A. Warner, Manuel Munoz
Summary: Perioperative anemia has been linked to increased risk of red blood cell transfusion, morbidity, and mortality after surgery. However, the optimal approach for diagnosing and managing perioperative anemia is not fully established. Therefore, an international expert panel developed consensus recommendations through evidence review using modified RAND Delphi methodology.
Article
Multidisciplinary Sciences
Amare Anley Beyable, Yophtahe Woldegerima Berhe, Yonas Addisu Nigatu, Hailu Yimer Tawuye
Summary: This study aimed to determine the prevalence and factors associated with preoperative anemia among adult patients scheduled for major elective surgery at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, in 2020. The study found a high prevalence of preoperative anemia and identified ASA classification, recent prior surgery, history of malignancy, orthopedic surgery, and gynecologic surgery as significantly associated factors. It is recommended for clinicians to focus on prevention, early detection, and treatment of preoperative anemia in order to reduce the risk of anemia and related adverse outcomes.
Article
Surgery
John Sincavage, Brittany Robinson, Vanessa J. Msosa, Chawezi Katete, Laura N. Purcell, Anthony Charles
Summary: The study found that preoperative anemia increases the risk of post laparotomy abdominal complications, indicating that anemia is a significant modifiable factor that needs attention.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Surgery
Chris Triphaus, Leonie Judd, Patricia Glaser, Marie H. Goehring, Elke Schmitt, Sabine Westphal, Christoph Fuellenbach, Simone Lindau, Kai Zacharowski, Patrick Meybohm, Suma Choorapoikayil
Summary: The study demonstrated that administering intravenous iron within 7 days before surgery effectively increased hemoglobin levels, reduced intraoperative transfusion rates, and shortened hospital stays for surgical patients with iron deficiency anemia.
Article
Oncology
Yangchun Xiao, Xin Cheng, Lu Jia, Yixin Tian, Jialing He, Miao He, Lvlin Chen, Pengfei Hao, Tiangui Li, Weelic Chong, Yang Hai, Chao You, Liyuan Peng, Fang Fang, Yu Zhang
Summary: This study found that moderate to severe anemia and polycythemia are independently associated with increased postoperative mortality in patients undergoing craniotomy for brain tumor resection, emphasizing the importance of identifying and managing abnormal hematocrit values before surgery.
FRONTIERS IN ONCOLOGY
(2023)
Article
Surgery
Nikita S. Patel, Nandini Mishra, Pavel Zagadailov, Aziz M. Merchant
Summary: This study investigated the association between preoperative transfusion and anemia levels in emergency general surgery patients. The results showed that transfusion was associated with increased postoperative complications and mortality rates, which correlated positively with the severity of anemia. Therefore, a restrictive transfusion strategy should be considered for patients with a hematocrit level exceeding 24% to avoid risks.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Orthopedics
Herve Hourlier, Peter Fennema
Summary: This observational study investigated the effectiveness of an adjusted surgical patient blood management (PBM) protocol in patients with anemic chronic disease (ACD) undergoing elective total knee arthroplasty (TKA). The results showed that ACD patients undergoing TKA had significantly less blood loss and no increased risk of bleeding or complications with the use of the adjusted PBM protocol.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Review
Anesthesiology
Vanessa Neef, Suma Choorapoikayil, Florian Piekarski, Tobias Schlesinger, Patrick Meybohm, Kai Zacharowski
Summary: In recent years, patient blood management (PBM) has evolved to improve patient care and safety. Anemia, mainly caused by iron deficiency, is a common disease with significant impact on surgical outcomes. Although studies have confirmed the positive effects of preoperative anemia diagnosis and treatment, many hospitals have not yet established preoperative anemia management protocols.
CURRENT OPINION IN ANESTHESIOLOGY
(2021)
Article
Orthopedics
Chelsea Sue Sicat, Nishanth Muthusamy, Vivek Singh, Roy Davidovitch, James D. Slover, Ran Schwarzkopf
Summary: This study aims to find a threshold preoperative hemoglobin (Hb) value for increased risk of adverse outcomes in total hip arthroplasty (THA). The results showed that patients with preoperative Hb values below 11 g/dL and below 12 g/dL had increased length of stay and were more likely to be discharged to skilled nursing facilities.
JOURNAL OF ARTHROPLASTY
(2022)
Review
Oncology
Ryan J. Ellis, Kevin C. Soares, William R. Jarnagin
Summary: In patients with potentially resectable perihilar cholangiocarcinoma, preoperative workup and optimization are crucial. This includes imaging assessment, evaluation of resectability, preoperative drainage, and diagnostic laparoscopy. Volumetric analysis should be performed for resectable lesions. In patients with a functional liver remnant <40%, careful use of biliary drainage and liver hypertrophy induction are advised. Diagnostic laparoscopy can reduce unnecessary laparotomy.
Article
Surgery
Somy Charuvila, Tasmiah Tahera Aziz, Sarah E. Davidson, Ummay Naznin, Shiuly Sinha, Sabbir Ahmed, Kokila Lakhoo, Tahmina Banu
Summary: This observational study conducted at a pediatric surgical center in Bangladesh reveals a liberal transfusion approach in pediatric preoperative anemia management. While some children were transfused solely based on clinical examination, others underwent blood testing and achieved normal hemoglobin levels after transfusion.
WORLD JOURNAL OF SURGERY
(2022)