Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16846
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dc.contributor.authorHong, Frank S-
dc.contributor.authorSieradzki, Nicole-
dc.contributor.authorPollock, Claire-
dc.contributor.authorNasra, Faye-
dc.contributor.authorMo, Allison-
dc.contributor.authorWillcox, Abbey-
dc.contributor.authorChurilov, Leonid-
dc.contributor.authorHo, Wai Khoon-
dc.contributor.authorSmith, Carole-
dc.date2017-09-04-
dc.date.accessioned2017-09-21T03:57:36Z-
dc.date.available2017-09-21T03:57:36Z-
dc.date.issued2017-09-04-
dc.identifier.citationInternal Medicine Journal 2017; 47(12): 1400-1404en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/16846-
dc.description.abstractBACKGROUND: Preoperative anaemia is associated with increased morbidity and mortality in surgical patients. Recent national patient blood management guideline recommended screening surgical patients for anaemia and in particular iron deficiency anaemia, without reference to the prevalence of anaemia or iron deficiency anaemia in this patient population. AIMS: To establish the prevalence and cause of preoperative anaemia in elective major surgery patients. METHODS: Patients attending the anaesthetic pre-admission clinics from 1 July 2013 to 30 June 2014 prior to their major elective surgery in our institution were screened for anaemia and iron deficiency by measuring full blood count, iron studies and C-reactive protein. Patients who were anaemic were either further assessed in haematology clinic or had their medical records reviewed to ascertain the cause of the anaemia. RESULTS: Two hundred and eight (13.9%) of 1494 patients were anaemic, with a male predominance (70.7%). Fifty seven (27.4%) of them had iron deficiency anaemia. Other common causes of anaemia include underlying malignancy (18.3%), end stage renal failure (11.5%) and other chronic diseases (7.2%). In 53 patients (25.5%), the cause was unknown. Anaemia was most commonly found in patients scheduled for gastrointestinal surgery. CONCLUSION: Preoperative anaemia affects 13.9% of patients undergoing elective major surgery. The most common causes are iron deficiency and chronic diseases. The cause was unexplained in 25.5% of patients with anaemia. The prevalence of anaemia in different surgical specialties may have implications on the approach to screening, particularly in resource limited areas.en_US
dc.subjectSurgical proceduresen_US
dc.subjectAnaemiaen_US
dc.subjectIron deficiency anaemiaen_US
dc.subjectPrevalenceen_US
dc.titlePrevalence and causes of preoperative anaemia in elective major surgery patientsen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleInternal Medicine Journalen_US
dc.identifier.affiliationDepartment of Laboratory Haematology, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Anaesthesia, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationStatistics and Decision Analysis Academic Platform, Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationSchool of Science, RMIT University, Melbourne, Victoria, Australiaen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/28869718en_US
dc.identifier.doi10.1111/imj.13613en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0003-2216-6004en_US
dc.identifier.orcid0000-0001-8331-2154-
dc.identifier.orcid0000-0002-1923-3133-
dc.type.austinJournal Articleen_US
local.name.researcherChurilov, Leonid
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.cerifentitytypePublications-
crisitem.author.deptClinical Haematology-
crisitem.author.deptPathology-
crisitem.author.deptClinical Haematology-
crisitem.author.deptMedicine (University of Melbourne)-
crisitem.author.deptThe Florey Institute of Neuroscience and Mental Health-
crisitem.author.deptPathology-
crisitem.author.deptLaboratory Haematology-
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