Iron deficiency and preoperative anaemia in patients scheduled for elective hip- and knee arthroplasty – an observational study

Vox Sanguinis

Volumn 113, Issue 3, 2018, Pages 260-267

  Jans, O ^a   Nielsen, C S ^b   Khan, N ^b   Gromov, K ^a,b   Troelsen, A ^b   Husted, H ^a,b  

^a Rigshospitalet   (Denmark)

^b Mental Health Center Glostrup   (Denmark)

Author keywords

anaemia; arthroplasty; iron deficiency; patient blood management

Indexed keywords

BIOCHEMICAL MARKER; C REACTIVE PROTEIN; COBALAMIN; CREATININE; FERRITIN; HEMOGLOBIN; IRON; TRANEXAMIC ACID; TRANSFERRIN;

AGED; ANEMIA; ARTICLE; BLEEDING; COMORBIDITY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DESCRIPTIVE RESEARCH; ELECTIVE SURGERY; ERYTHROCYTE TRANSFUSION; FEMALE; HIP ARTHROPLASTY; HUMAN; IRON DEFICIENCY; KNEE ARTHROPLASTY; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; PREOPERATIVE PERIOD; PRIORITY JOURNAL; PROSPECTIVE STUDY; BLOOD; BLOOD TRANSFUSION; DEFICIENCY; KNEE REPLACEMENT; MIDDLE AGED; POSTOPERATIVE COMPLICATION; PREVALENCE;

AGED; ANEMIA; ARTHROPLASTY, REPLACEMENT, KNEE; BLOOD TRANSFUSION; FEMALE; HUMANS; IRON; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; PREVALENCE;

EID: 85041576243     PISSN: 00429007     EISSN: 14230410     Source Type: Journal    
DOI: 10.1111/vox.12630     Document Type: Article

References (24)

1. Spahn DR: Anemia and patient blood management in hip and knee surgery: a systematic review of the literature. Anesthesiology 2010; 113:482–495
2. Lasocki S, Krauspe R, von Heymann C, et al.: PREPARE: the prevalence of perioperative anaemia and need for patient blood management in elective orthopaedic surgery: a multicentre, observational study. Eur J Anaesthesiol 2015; 32:160–167
3. Shander A, Knight K, Thurer R, et al.: Prevalence and outcomes of anemia in surgery: a systematic review of the literature. Am J Med 2004; 116(Suppl):58S–69S
4. Jans Ø, Jørgensen C, Kehlet H, et al.: Role of preoperative anemia for risk of transfusion and postoperative morbidity in fast-track hip and knee arthroplasty. Transfusion 2014; 54:717–726
5. Musallam KM, Tamim HM, Richards T, et al.: Preoperative anaemia and postoperative outcomes in non-cardiac surgery: a retrospective cohort study. Lancet 2011; 378:1396–1407
6. Karkouti K, Wijeysundera DN, Beattie WS: Risk associated with preoperative anemia in cardiac surgery: a multicenter cohort study. Circulation 2008; 117:478–484
7. Wu W-C, Schifftner TL, Henderson WG, et al.: Preoperative hematocrit levels and postoperative outcomes in older patients undergoing noncardiac surgery. JAMA 2007; 297:2481–2488
8. Goodnough LT, Shander A: Patient blood management. Anesthesiology 2012; 116:1367–1376
9. Shander A, Van Aken H, Colomina MJ, et al.: Patient blood management in Europe. Br J Anaesth 2012; 109:55–68
10. Goodnough LT, Maniatis A, Earnshaw P, et al.: Detection, evaluation, and management of preoperative anaemia in the elective orthopaedic surgical patient: NATA guidelines. Br J Anaesth 2011; 106:13–22
11. Kotzé A, Harris A, Baker C, et al.: British committee for standards in haematology guidelines on the identification and management of pre-operative anaemia. Br J Haematol 2015; 171:322–331
12. Muñoz M, Acheson AG, Auerbach M, et al.: International consensus statement on the peri-operative management of anaemia and iron deficiency. Anaesthesia 2017; 72:233–247
13. Muñoz M, Gómez-Ramírez S, Kozek-Langeneker S, et al.: ‘Fit to fly’: overcoming barriers to preoperative haemoglobin optimization in surgical patients. Br J Anaesth 2015; 115:15–24
14. Muñoz M, Laso-Morales MJ, Gómez-Ramírez S, et al.: Pre-operative haemoglobin levels and iron status in a large multicentre cohort of patients undergoing major elective surgery. Anaesthesia 2017; 72:826–834
15. Bisbe E, Castillo J, Sáez M, et al.: Prevalence of preoperative anemia and hematinic deficiencies in patients scheduled for elective major orthopedic surgery. Transfus Altern Transfus Med 2008; 10:166–173
16. Saleh E, McClelland DBL, HayA, et al.: Prevalence of anaemia before major joint arthroplasty and the potential impact of preoperative investigation and correction on perioperative blood transfusions. Br J Anaesth 2007; 99:801–808
17. Basora M, Deulofeu R, Salazar F, et al.: Improved preoperative iron status assessment by soluble transferrin receptor in elderly patients undergoing knee and hip replacement. Clin Lab Haematol 2006; 28:370–375
18. Myers E, O'Grady P, Grady PO, et al.: The influence of preclinical anaemia on outcome following total hip replacement. Arch OrthopTrauma Surg. 2004; 124:699–701
19. Husted H: Fast-track hip and knee arthroplasty: clinical and organizational aspects. Acta Orthop Suppl. 2012; 83:1–39
20. Danish National Board of Health. Guidelines on blood transfusion; 2007. Available from: https://www.retsinformation.dk/Forms/R0710.aspx?id=114821 [Last accessed 15 January 2018]
21. Levey AS, Bosch JP, Lewis JB, et al.: A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med 1999; 130:461–470
22. Clevenger B, Richards T: Pre-operative anaemia. Anaesthesia. 2015; 70 Suppl 1:20–28, e6-8
23. Nutritional anaemias. Report of a WHO scientific group. World Health Organ Tech Rep Ser. 1968; 405:5–37.
24. Muñoz M, García-Erce JA, Remacha ÁF: Disorders of iron metabolism. Part II: iron deficiency and iron overload. J Clin Pathol 2011; 64:287–296