- Background: Approximately one in three patients suffers from preoperative anaemia. Even though haemoglobin is measured before surgery, anaemia management is not implemented in every hospital. Objective: Here, we demonstrate the implementation of an anaemia walk-in clinic at an Orthopedic University Hospital. To improve the diagnosis of iron deficiency (ID), we examined whether reticulocyte haemoglobin (Ret-He) could be a useful additional parameter. Material and Methods: In August 2019, an anaemia walk-in clinic was established. Between September and December 2019, major orthopaedic surgical patients were screened for preoperative anaemia. The primary endpoint was the incidence of preoperative anaemia. Secondary endpoints included Ret-He level, red blood cell (RBC) transfusion rate, in-hospital length of stay and anaemia at hospital discharge. Results: A total of 104 patients were screened for anaemia. Preoperative anaemia rate was 20.6%. Intravenous iron was supplemented in 23 patients. Transfusion of RBC units per patient (1.7 ± 1.2 vs. 0.2 ± 0.9; p = 0.004) and hospital length of stay (13.1 ± 4.8 days vs. 10.6 ± 5.1 days; p = 0.068) was increased in anaemic patients compared to non-anaemic patients. Ret-He values were significantly lower in patients with ID anaemia (33.3 pg [28.6–40.2 pg]) compared to patients with ID (35.3 pg [28.9–38.6 pg]; p = 0.015) or patients without anaemia (35.4 pg [30.2–39.4 pg]; p = 0.001). Conclusion: Preoperative anaemia is common in orthopaedic patients. Our results proved the feasibility of an anaemia walk-in clinic to manage preoperative anaemia. Furthermore, our analysis supports the use of Ret-He as an additional parameter for the diagnosis of ID in surgical patients.
MetadatenVerfasserangaben: | Vanessa NeefORCiDGND, David Meisenzahl, Paul KesslerORCiD, Florian RaimannORCiDGND, Florian PiekarskiORCiDGND, Suma ChoorapoikayilGND, Christoph Fleege, Kai ZacharowskiORCiDGND, Patrick MeybohmORCiDGND, Andrea MeurerORCiD |
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URN: | urn:nbn:de:hebis:30:3-638668 |
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DOI: | https://doi.org/10.1111/tme.12740 |
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ISSN: | 1365-3148 |
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Titel des übergeordneten Werkes (Englisch): | Transfusion Medicine |
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Verlag: | Wiley-Blackwell |
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Verlagsort: | Oxford [u.a.] |
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Dokumentart: | Wissenschaftlicher Artikel |
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Sprache: | Englisch |
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Datum der Veröffentlichung (online): | 25.11.2020 |
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Datum der Erstveröffentlichung: | 25.11.2020 |
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Veröffentlichende Institution: | Universitätsbibliothek Johann Christian Senckenberg |
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Datum der Freischaltung: | 15.03.2022 |
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Freies Schlagwort / Tag: | anaemia walk-in clinic; blood transfusion; iron deficiency; orthopaedic patients; patient blood management; reticulocyte haemoglobin |
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Jahrgang: | 30 |
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Ausgabe / Heft: | 6 |
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Seitenzahl: | 8 |
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Erste Seite: | 467 |
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Letzte Seite: | 474 |
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Bemerkung: | Funding information: B. Braun Melsungen, CSL Behring, Fresenius Kabi, and Vifor Pharma; Pharmacosmos; Ferring; Vifor Pharma; Fresenius Kabi; CSL Behring; B. Braun Melsungen |
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HeBIS-PPN: | 494786752 |
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Institute: | Medizin |
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DDC-Klassifikation: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
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Sammlungen: | Universitätspublikationen |
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Lizenz (Deutsch): | Creative Commons - Namensnennung 4.0 |
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