Preoperative anaemia management in patients undergoing vascular surgery.
Sandip NandhraM ChauA A KleinJ A YeatesT CollierC EvansS AgarwalT Richardsnull nullPublished in: The British journal of surgery (2020)
CAVIAR is a multicentre prospective stepped observational study encompassing 160 patients undergoing vascular intervention. The aim was to identify whether it was feasible to establish a preoperative anaemia pathway and, if so, the efficacy of intravenous iron for treatment of preoperative anaemia. Large barriers prevented implementation of an intravenous iron pathway, with only ten patients receiving intravenous iron and a small increase in haemoglobin level (mean 5·7 (95 per cent c.i. 4·5 to 6·9) g/l). Preoperative anaemia was associated with a longer hospital stay and greater transfusion requirement. Anaemia common and dedicated pathway difficult to instigate.
Keyphrases
- iron deficiency
- patients undergoing
- high dose
- randomized controlled trial
- healthcare
- minimally invasive
- study protocol
- primary care
- clinical trial
- cardiac surgery
- coronary artery disease
- adverse drug
- emergency department
- acute kidney injury
- cross sectional
- atrial fibrillation
- percutaneous coronary intervention
- surgical site infection