Volume 15, Issue 3 (Autumn 2018)                   2018, 15(3): 165-172 | Back to browse issues page

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Khalaf Adeli E, Alavi S M, eslami F, Pourfathollah A. Frequency of anemia before cardiac surgery and its impact on transfusion in Rajaie Cardiovascular Hospital. Journal of Iranian Blood Transfusion 2018; 15 (3) :165-172
URL: http://bloodjournal.ir/article-1-1178-en.html
Frequency of anemia before cardiac surgery and its impact on transfusion in Rajaie Cardiovascular Hospital
Elham Khalaf Adeli , Seyed Mostfa Alavi , Fatemeh Eslami , Aliakbar Pourfathollah *
Keywords: Anemia, Blood Transfusion, Cardiac Surgical Procedures
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Sci J Iran Blood Transfus Organ 2018; 15(3): 165-172
Original Article
 

 

Frequency of anemia before cardiac surgery and its
impact on transfusion in Rajaie Cardiovascular Hospital
 
Khalaf Adeli E.1, Alavi S.M.2, Eslami F.3, Pourfathollah A.A.4,1
 
 
 1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2Shahid Rajaie, Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran
3Islamic Azad University, Tehran Medical Branch, Tehran, Iran
4Faculty of Medicine, Tarbiat Modares University, Tehran, Iran
 
 
 
Abstract
Background and Objectives
Preoperative anemia has been reported as a risk factor for poor clinical outcomes in various types of surgery. We surveyed the frequency of preoperative anemia as well as its relationship with transfusion requirements in patients undergoing elective cardiac surgeries in Rajaie Cardiovascular Hospital.
 
Materials and Methods
In this descriptive study, 181 adult patients scheduled for elective cardiac surgery at Rajaei cardiovascular medical center were included in a descriptive study between November 2015 and July 2016. Frequency of anemic patients was determined. The frequency of transfusion attempts was compared between anemic and non-anemic patients. The data were analyzed by SPSS 22, t-test, Perason test & c2 test.
 
Results
Out of the total number of 181 enrolled patients, 54 (29.8%) of patients were anemic before surgery. Anemia was mild in 33 (61%), moderate in 14 (26%), and severe in 7 (13%) of anemic patients. Transfusion frequency was 77.8% in anemic patients and significantly higher than 39% in non-anemic patients (p < 0.001).
 
Conclusions 
Our data showed that preoperative anemia has considerable  frequency in patients undergoing elective cardiac surgery. It is associated with higher perioperative transfusion attempts. To prevent inappropriate transfusion, the anemic patients should be identified for anemia correction before surgery.
 
Key words: Anemia, Blood Transfusion, Cardiac Surgical Procedures
 
 
 
 
Received: 3  Feb 2018
Accepted: 3 Jun 2018
 
 

Correspondence: Pourfathollah AA., PhD of Immunology. Professor of Faculty of Medicine,Tarbiat modares University & Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine.
P.O.Box: 14115-111, Tehran, Iran. Tel: (+9821) 8801101; Fax: (+9821) 88013030
E-mail: pourfa@modares.ac.ir

 
Type of Study: Research | Subject: Blood Transfusion
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