Hemodynamics, fluids & transfusion

Evaluation of Anemia and Iron Deficiency in French Surgical Departments: The National Multicenter Observational PERIOPES Study

Anesth AnalgPublished Cross-sectional study

Authors' conclusion

Our observational study showed that preoperative anemia was frequent, but iron deficiency was often not assessed and few patients were treated.

Study context

Population
Consecutive surgical patients of different specialties in 13 public and 3 private French hospitals (all with an interest for patient blood management (PBM)), July 30, 2019–December 31, 202113 public, 3 private hospitals
Participants
2,345 patients
Outcome
Anemia and iron deficiency management and blood transfusion use in surgical departments
Methodological detailsnational, multicentre, observational
  • National
  • Multicentre
  • Observational

Main finding

As reported in the abstract

Hemoglobin (Hb) assessed at preoperative anesthesia visit
2112 (90.1%)
Anemia diagnosed among those with Hb assessed
722 (34.2%)
Complete iron workup performed
715 (30.5%) of 2345
Iron deficiency anemia among anemic patients
219 (30.3%) of 722
Anemic patients treated
217 (30.1%)
Perioperative blood transfusions
479 in 315 patients
Restrictive transfusion not applied, transfusion episodes
50%
Single-unit RBC transfusion
37.2%

Observational data: associations, not effects.

Further findings

Centres with a formalized PBM program
5

Original publication

Evaluation of Anemia and Iron Deficiency in French Surgical Departments: The National Multicenter Observational PERIOPES Study. Anesth Analg. Published 16 June 2023. doi:10.1213/ane.0000000000006362

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