dc.contributor.author |
Ristescu, Irina |
|
dc.contributor.author |
Fetcu, Daniela Simona |
|
dc.contributor.author |
Filip, Diana |
|
dc.contributor.author |
Jitca, Mirel |
|
dc.contributor.author |
Fecheta, Rafaela |
|
dc.contributor.author |
Pătrășcanu, Emilia |
|
dc.contributor.author |
Grigoraș, Ioana |
|
dc.date.accessioned |
2020-05-26T19:18:51Z |
|
dc.date.available |
2020-05-26T19:18:51Z |
|
dc.date.issued |
2018 |
|
dc.identifier.citation |
RISTESCU, Irina, FETCU, Daniela Simona, FILIP, Diana, et al. Retrospective evaluation of anaemia and transfusion rate in lower abdominal oncological surgery. In: The Moldovan Medical Journal. 2018, vol. 61 (AIC congress issue), september, p. 22. ISSN 2537-6381. |
en_US |
dc.identifier.issn |
2537-6381 |
|
dc.identifier.issn |
2537-6373 |
|
dc.identifier.uri |
http://moldmedjournal.md/wp-content/uploads/2018/09/61-4-ATI-Congres.pdf |
|
dc.identifier.uri |
http://repository.usmf.md/handle/20.500.12710/9883 |
|
dc.description |
Grigore T. Popa University of Medicine and Pharmacy, România, Iași, Regional Institute of Oncology, Anaesthesia and Intensive Care Department, România, Iași, The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care, September 27-29, 2018, Chisinau, the Republic of Moldova |
en_US |
dc.description.abstract |
Background: Anemia is currently considered a contraindication to elective surgery, requiring diagnostic investigations and
preoperative iron administration. In the oncological patient, severe anemia can increase tumor aggression and blood transfusion
can induce immunosuppression, favouring cancer recurrence and metastatic rate.
Objectives: To evaluate the prevalence of anemia and the perioperative transfusion rate in major abdominal-pelvic oncology
surgery.
Material and methods: Data of all consecutive surgical patients admitted to the ICU during 01-07.2017 were retrospectively
analyzed. Patients with major lower digestive, gynecological and urological surgery were selected. Investigated parameters were
- demographic data, hemoglobin (preoperative Hb1, postoperative Hb2, at dischargeHb3), anemia prevalence and perioperative
transfusion rate. Statistical analysis used t-student, chi-square and ANOVA from SPSS 17.
Results: Of a total 1284 patients, n = 546 patients undergoing lower abdominal surgery were enrolled in the study, mean age
60.9 (+/- 12.6) years. The mean hemoglobin Hb1/Hb2/Hb3 values were 12.4/10.6/10.5g/dL. The prevalence of anemia was
38.5% (n = 210) preoperatively, 85.9% (n = 469) postoperatively and 86.9% (n = 474) at discharge. The transfusion rate was
16.6% (n = 91), transfusion index = 2. Comparative analysis showed a higher prevalence of preoperative anemia (50.5vs21.8%,
p <0.001) and transfusion rate (21.8vs 1.6%, p <0.01) in lower abdominal versus uro- gynecologic surgery.
Conclusions: The analysis of surgical oncology patients with lower abdominal interventions identified an increased prevalence
of anemia in all perioperative stages.
Acknowledgments – The database used in this study was created by the Patient Blood Management Romanian Group for the
internal audit on the prevalence of anemia and transfusion. |
|
dc.language.iso |
en |
en_US |
dc.publisher |
The Scientific Medical Association of the Republic of Moldova |
en_US |
dc.relation.ispartof |
The Moldovan Medical Journal: The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care September 27-29, 2018, Chisinau, the Republic of Moldova |
|
dc.subject |
anemia |
en_US |
dc.subject |
transfusion rate |
en_US |
dc.title |
Retrospective evaluation of anaemia and transfusion rate in lower abdominal oncological surgery |
en_US |
dc.type |
Article |
en_US |