Anemia
Conditions
Keywords
post operative screening, anemia, iron deficiency, diagnosis
Brief summary
Non invasive Hemoglobin monitoring by SpHb device had been developed to assess Hemoglobin level during hemorrhagic surgery. It's accuracy to detect post operative anemia on a single post operative measure has been recently demonstrated on a cohort of post operative orthopedic patient and it's routine use has been generalized to other surgical department. This study aims to valid these finding on a cohort of post operative patients from gynaecological department.
Interventions
non invasive hemoglobin measure
Sponsors
Study design
Eligibility
Inclusion criteria
* being hospitalized for gynecological procedure: hysterectomy or cancer related annexectomy * \> 18 years
Exclusion criteria
* 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 |
|---|---|---|
| accuracy between SpHb measure and Hemoglobin level on the post operative blood sample | at 2 and 8 months after establishment of PBM protocol | level of immediate post operative SpHb measure compared to blood hemoglobin measure, ROC curve |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Kappa coefficient | at 2 and 8 months after establishment of PBM protocol | correlation between SpHb measure and correct classification of patients anemia vs no anemia |
| Intra class correlation coefficient | at 2 and 8 months after establishment of PBM protocol | correlation between Laboratory measurement and SpHb measurement |
| Subgroup analysis of ROC curve (classes of age 18-30; 30-40; 40-50; >50) | at 2 and 8 months after establishment of PBM protocol | comparison of ROC curve areas in subgroups |
| Spearman correlation coefficient | at 2 and 8 months after establishment of PBM protocol | correlation between Laboratory Hb and SpHb measure |
| impact of perfusion index on accuracy of SpHb | at 2 and 8 months after establishment of PBM protocol | comparison of ROC curve areas in subgroups of perfusion index (good or low perfusion index) |
| impact of leght between SpHb measurement and laboratory Hb measurement on accuracy | at 2 and 8 months after establishment of PBM protocol | comparison of ROC curve areas in subgroups of lenght in days between SpHb measurement and Laboratory Hb measurement |
| impact of body temperature on accuracy of SpHb | at 2 and 8 months after establishment of PBM protocol | comparison of ROC curve areas in subgroups of temperature (classes of temperature : \<35; 35-36; \>36) |