Anemia
Conditions
Keywords
anemia, perioperative period, post operative recovery, patient blood management
Brief summary
Perioperative anemia is associated with higher risk of red blood cell transfusion, higher rates of morbimortality and lower quality of postoperative recovery. In a context of focussing on higher quality management and improved recovery after surgery, development of Patient Blood management has increased. This study aim to assess PBM protocole in a postoperative context of gynaecological surgery, by comparing indicators at two time periods: 2 and 8 months after establishment of PBM protocol.
Interventions
None listed
Sponsors
University Hospital, Angers
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age \> 18 years * being hospitalised for planned hysterectomy or cancer related ovariectomy
Exclusion criteria
* less than 18 years * non french speaker * being under a legal individual protection measure * not being able to consent * being opposed to data collection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| rate of immediate pre operative anemia | at 2 and 8 months after establishment of PBM protocol | preoperative Hb\<13g/dL |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rate of Hemoglobin dosage available during anesthetic evaluation | at 2 and 8 months after establishment of PBM protocol | number and rate of blood analyses |
| rate of preoperative iron deficiency that need to be treated diagnosed during anesthetic consultation | at 2 and 8 months after establishment of PBM protocol | blood ferritin level \<100 ng/mL |
| adequacy between diagnosed iron deficiency anemia and treatment | at 2 and 8 months after establishment of PBM protocol | rate of iron prescription |
| effectiveness of iron treatment | at 2 and 8 months after establishment of PBM protocol | rate of persistent pre operative anemia after iron treatment |
| immediat effect of surgery on anemia incidence | at 2 and 8 months after establishment of PBM protocol | rate of post operative anemia (Hb\<12g/dL)/ rate of post operative iron treatment |
| delayed effect of surgery on anemia incidence | at 2 and 8 months after establishment of PBM protocol | rate of delayed post operative anemia or iron deficiency |
| early post operative recovery | at 2 and 8 months after establishment of PBM protocol | FQoR 15 on the day of hospital dischage |
| delayed post operative recovery | at 2 and 8 months after establishment of PBM protocol | FQoR 15 at the post operative surgical visit |
| adhesion to PBM protocol (rate of anemia) | at 2 and 8 months after establishment of PBM protocol | comparison of rate of anemia screening |
| rate of preoperative anemia that need to be treated diagnosed during anesthetic consultation | at 2 and 8 months after establishment of PBM protocol | Hb\<13 g/dL |
| adhesion to PBM protocol (missing datas) | at 2 and 8 months after establishment of PBM protocol | comparison of the rate of missing datas |
| efficiency of PBM protocol (preoperative anemia rate) | at 2 and 8 months after establishment of PBM protocol | comparison of the rate of preoperative anemia |
| efficiency of PBM protocol (perioperative transfusion rate) | at 2 and 8 months after establishment of PBM protocol | comparison of the rate of peri opeartive transfusion |
| efficiency of PBM protocol (mean of FQoR-15) | at 2 and 8 months after establishment of PBM protocol | comparison of the mean of FQoR-15 |
| efficiency of PBM protocol (mean of FQoR-15 between patients with or without preoperative anemia) | at 2 and 8 months after establishment of PBM protocol | comparison of FQoR-15 means between patients with or without preoperative anemia |
| efficiency of PBM protocol (rate of screening anemia and the rate of preoperative anemia ) | at 2 and 8 months after establishment of PBM protocol | comparison of the rate of screening anemia and the rate of preoperative anemia |
| efficiency of PBM protocol (Hb level between anesthetic evaluation and pre anesthetic visit) | at 2 and 8 months after establishment of PBM protocol | comparison of Hb level between anesthetic evaluation and pre anesthetic visit (paired T test) |
| efficiency of PBM protocol (difference of hemoglobin level after iron treatment) | at 2 and 8 months after establishment of PBM protocol | mean difference of hemoglobin level after iron treatment |
| efficiency of PBM protocol (iron treatment rate) | at 2 and 8 months after establishment of PBM protocol | comparison of iron treatment rate |
Contacts
Primary ContactSigismond Lasocki
Backup ContactElise Houssin
Outcome results
None listed