Frequency of anemia before cardiac surgery and its impact on transfusion in Rajaie Cardiovascular Hospital
Journal Title: Khoon - Year 2018, Vol 15, Issue 3
Abstract
Frequency of anemia before cardiac surgery and its impact on transfusion in Rajaie Cardiovascular Hospital Khalaf Adeli E.1, Alavi S.M.2, Eslami F.3, Pourfathollah A.A.4,1 1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran 2Shahid Rajaie, Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran 3Islamic Azad University, Tehran Medical Branch, Tehran, Iran 4Faculty of Medicine, Tarbiat Modares University, Tehran, Iran Abstract Background and Objectives Preoperative anemia has been reported as a risk factor for poor clinical outcomes in various types of surgery. We surveyed the frequency of preoperative anemia as well as its relationship with transfusion requirements in patients undergoing elective cardiac surgeries in Rajaie Cardiovascular Hospital. Materials and Methods In this descriptive study, 181 adult patients scheduled for elective cardiac surgery at Rajaei cardiovascular medical center were included in a descriptive study between November 2015 and July 2016. Frequency of anemic patients was determined. The frequency of transfusion attempts was compared between anemic and non-anemic patients. The data were analyzed by SPSS 22, t-test, Perason test & 2 test. Results Out of the total number of 181 enrolled patients, 54 (29.8%) of patients were anemic before surgery. Anemia was mild in 33 (61%), moderate in 14 (26%), and severe in 7 (13%) of anemic patients. Transfusion frequency was 77.8% in anemic patients and significantly higher than 39% in non-anemic patients (p < 0.001). Conclusions Our data showed that preoperative anemia has considerable frequency in patients undergoing elective cardiac surgery. It is associated with higher perioperative transfusion attempts. To prevent inappropriate transfusion, the anemic patients should be identified for anemia correction before surgery. Key words: Anemia, Blood Transfusion, Cardiac Surgical Procedures Received: 3 Feb 2018 Accepted: 3 Jun 2018 Correspondence: Pourfathollah AA., PhD of Immunology. Professor of Faculty of Medicine,Tarbiat modares University & Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine. P.O.Box: 14115-111, Tehran, Iran. Tel: (+9821) 8801101; Fax: (+9821) 88013030 E-mail: pourfa@modares.ac.ir
Authors and Affiliations
E. Khalaf Adeli, S. M. Alavi, F. Eslami, A. A. Pourfathollah
Keywords
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