Mona Jung-König1, Christoph Füllenbach1, Michael F Murphy2, Paola Manzini3, Stefan Laspina4, Kate Pendry5, Jörg Mühling6, Agneta Wikman7, Catherine Humbrecht8, Jean-Christophe Rigal9, Sigismond Lasocki10, Gilles Folléa11, Erhard Seifried12, Markus M Müller12, Christof Geisen12, Kari Aranko13, Kai Zacharowski1, Patrick Meybohm1,14. 1. Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany. 2. NHS Blood & Transplant, Oxford University Hospitals NHS Foundation Trust, National Institute of Health Research Biomedical Research Centre, University of Oxford, Oxford, UK. 3. Banca del Sangue e del Plasma, Città della Salute e della Scienza di Torino, Torino, Italy. 4. Hospital Blood Bank, Mater Dei University Hospital, Msida, Malta. 5. Department of Transfusion, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK. 6. Department of Anesthesiology, Pain, and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. 7. Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden. 8. Établissement Français Du Sang, Nancy, France. 9. Department d'Anesthésiologie et Réanimation, CHU de Nantes, Nantes, France. 10. Département Anesthésie Réanimation, CHU Angers, LUNAM Université d'Angers, Angers, France. 11. Société Française de Transfusion Sanguine, Paris, France. 12. German Red Cross, Institute for Transfusion Medicine and Immunohematology, German Red Cross Baden-Wuertemberg - Hessen, Goethe University Frankfurt, Frankfurt am Main, Germany. 13. European Blood Alliance, Amsterdam, The Netherlands. 14. Department of Anesthesiology, University Hospital Wuerzburg, Wuerzburg, Germany.
Abstract
BACKGROUND AND OBJECTIVES: Preoperative anaemia is an independent risk factor for a higher morbidity and mortality, a longer hospitalization and increased perioperative transfusion rates. Managing preoperative anaemia is the first of three pillars of Patient Blood Management (PBM), a multidisciplinary concept to improve patient safety. While various studies provide medical information on (successful) anaemia treatment pathways, knowledge of organizational details of diagnosis and management of preoperative anaemia across Europe is scarce. MATERIALS AND METHODS: To gain information on various aspects of preoperative anaemia management including organization, financing, diagnostics and treatment, we conducted a survey (74 questions) in ten hospitals from seven European nations within the PaBloE (Patient Blood Management in Europe) working group covering the year 2016. RESULTS: Organization and activity in the field of preoperative anaemia management were heterogeneous in the participating hospitals. Almost all hospitals had pathways for managing preoperative anaemia in place, however, only two nations had national guidelines. In six of the ten participating hospitals, preoperative anaemia management was organized by anaesthetists. Diagnostics and treatment focused on iron deficiency anaemia which, in most hospitals, was corrected with intravenous iron. CONCLUSION: Implementation and approaches of preoperative anaemia management vary across Europe with a primary focus on treating iron deficiency anaemia. Findings of this survey motivated the hospitals involved to critically evaluate their practice and may also help other hospitals interested in PBM to develop action plans for diagnosis and management of preoperative anaemia.
BACKGROUND AND OBJECTIVES: Preoperative anaemia is an independent risk factor for a higher morbidity and mortality, a longer hospitalization and increased perioperative transfusion rates. Managing preoperative anaemia is the first of three pillars of Patient Blood Management (PBM), a multidisciplinary concept to improve patient safety. While various studies provide medical information on (successful) anaemia treatment pathways, knowledge of organizational details of diagnosis and management of preoperative anaemia across Europe is scarce. MATERIALS AND METHODS: To gain information on various aspects of preoperative anaemia management including organization, financing, diagnostics and treatment, we conducted a survey (74 questions) in ten hospitals from seven European nations within the PaBloE (Patient Blood Management in Europe) working group covering the year 2016. RESULTS: Organization and activity in the field of preoperative anaemia management were heterogeneous in the participating hospitals. Almost all hospitals had pathways for managing preoperative anaemia in place, however, only two nations had national guidelines. In six of the ten participating hospitals, preoperative anaemia management was organized by anaesthetists. Diagnostics and treatment focused on iron deficiency anaemia which, in most hospitals, was corrected with intravenous iron. CONCLUSION: Implementation and approaches of preoperative anaemia management vary across Europe with a primary focus on treating iron deficiency anaemia. Findings of this survey motivated the hospitals involved to critically evaluate their practice and may also help other hospitals interested in PBM to develop action plans for diagnosis and management of preoperative anaemia.
Authors: Toby Richards; Ravishankar Rao Baikady; Ben Clevenger; Anna Butcher; Sandy Abeysiri; Marisa Chau; Rebecca Swinson; Tim Collier; Matthew Dodd; Laura Van Dyck; Iain Macdougall; Gavin Murphy; John Browne; Andrew Bradbury; Andrew Klein Journal: Health Technol Assess Date: 2021-02 Impact factor: 4.014
Authors: Katrin Steiner; Joanna Baron-Stefaniak; Alexander M Hirschl; Wolfgang Barousch; Birgit Willinger; David M Baron Journal: BMC Health Serv Res Date: 2020-12-01 Impact factor: 2.655