Perioperative medicine & outcomes
Preoperative anemia in older individuals undergoing major abdominal surgery is associated with early postoperative morbidity: a prospective observational study
Authors' conclusion
Anemia is significantly associated with poorer postoperative outcomes in the older population.
Study context
- Population
- Older patients undergoing major abdominal surgery, preoperative anesthesia clinic of a tertiary Singapore hospital, 2017–2021analyzed
- Participants
- 469 patients
- Exposure
- Preoperative anaemia vs no anaemia
- Outcome
- Early postoperative morbidity (Postoperative Morbidity Survey)
- Follow-up
- Day 5
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Early postoperative morbidity
- Severity of anemia associated with presence of early postoperative morbidity at day 5
Observational data: associations, not effects.
Further findings
Blood transfusions, LOS, days alive and out of hospital (DaOH) · 30 days and six months (DaOH)
- Severity of anemia associated with increased blood transfusions, longer hospital LOS and fewer DaOH at 30 days and six months
Baseline characteristics
- Anemia significantly associated with older age, higher age-adjusted Comprehensive Complication Index score, more diabetes mellitus and more ASA III or IV
Original publication
Preoperative anemia in older individuals undergoing major abdominal surgery is associated with early postoperative morbidity: a prospective observational study. Can J Anaesth. Published 5 January 2024. doi:10. 1007/ s12630-023-02676-z
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