Anaemia in patients undergoing major bowel surgery - Prevalence and current practice: A public and private institution experience.
J Perioper Pract
; 31(6): 215-222, 2021 Jun.
Article
em En
| MEDLINE
| ID: mdl-32638656
ABSTRACT
AIM:
The study aimed to compare the frequency and alignment of preoperative anaemia screening and treatment with Australian guidelines in elective bowel surgery and determine the impact on clinical outcomes.METHODS:
We performed a retrospective observational study, with an audit of 559 adult patients who underwent major elective bowel surgery in an Australian metropolitan hospital, January 2016-December 2018. Outcome measures included rate of anaemia, guideline compliance, hospital length of stay, and transfusion rate.RESULTS:
Preoperative anaemia assessment occurred in 82.6% of patients. However, only 5.2% received recommended biochemical tests at least one week before surgery. Only 25.2% of anaemic patients received preoperative treatment; they experienced a longer hospital length of stay (9.93 days versus 7.88 days, p < 0.001) and an increased rate of transfusion (OR 3.186, p < 0.05).CONCLUSION:
The gaps between current preoperative anaemia screening, management and national guidelines may place patients at higher risk of poor surgical outcome.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Cuidados Pré-Operatórios
/
Anemia
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article