Preoperative anemia management program reduces blood transfusion in elective cardiac surgical patients, improving outcomes and decreasing hospital length of stay

Background Anemia is an independent risk factor for hospitalization, readmission, prolonged length of stay (LOS), diminished quality of life, and mortality. A multidisciplinary program was implemented to manage anemia preoperatively as a patient blood management (PBM) initiative. Methods and Materia...

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Bibliographic Details
Published in:Transfusion (Philadelphia, Pa.) Pa.), 2021-09, Vol.61 (9), p.2629-2636
Main Authors: Cahill, Christine M., Alhasson, Bassam, Blumberg, Neil, Melvin, Amber, Knight, Peter, Gloff, Marjorie, Robinson, Renee, Akwaa, Frank, Refaai, Majed A.
Format: Article
Language:English
Subjects:
Anemia
Blood
blood management
Blood transfusion
Cost analysis
Erythrocytes
Folic acid
hematopoiesis
Hemoglobin
Iron
Iron deficiency
Length of stay
Nutrient deficiency
Patients
Quality of life
red blood cell transfusion
Risk analysis
Risk factors
Surgery
Transfusion
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Summary:Background Anemia is an independent risk factor for hospitalization, readmission, prolonged length of stay (LOS), diminished quality of life, and mortality. A multidisciplinary program was implemented to manage anemia preoperatively as a patient blood management (PBM) initiative. Methods and Materials From March 2016 to August 2018, 240 patients were screened for anemia during their preoperative cardiovascular visit. About 52/240 (22%) were found to be anemic and met out inclusion criteria. Also, 45/52 (87%) had iron deficiency anemia and 7 (13%) had anemia without iron deficiency. A similar historical cohort of patients undergoing elective cardiovascular surgery with hemoglobin (Hb) 
ISSN:0041-1132
1537-2995
DOI:10.1111/trf.16564