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Retrospective evaluation of anaemia and transfusion rate in lower abdominal oncological surgery

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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


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  • The Moldovan Medical Journal, Vol. 61, September 2018 AIC Congress Issue
    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

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