Fernández-Villar Gonzalo M, Delgado-Gaete Mauricio, Borja-Yenchong Marco A, Rossi Emiliano, Nucifora Elsa M, Kotowicz Vadim, Pizarro Rodolfo
Servicio de Cardiología, Instituto de Medicina Cardiovascular, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Servicio de Hematología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Arch Cardiol Mex. 2024 Feb 2;94(2):133-140. doi: 10.24875/ACM.23000090.
Anemia is associated with increased mortality in patients undergoing major surgeries.
The aim of this study is to evaluate the prevalence of anemia in the preoperative period of cardiovascular surgery, its postoperative incidence and its evolution during the first month in our setting.
A prospective cohort study was carried out in which all patients undergoing central cardiovascular surgery operated during the period 09/01/2021-09/01/2022 in a university hospital were included. Clinical and laboratory follow-up was carried out prior to surgery, on the fifth and on the 30th postoperative day. Groups with and without preoperative anemia were compared.
The prevalence of anemia in the preoperative period was 32.1%. The incidence of anemia in the postoperative period was 96% in the group of patients without previous anemia. One month after surgery, 73 and 90% of the patients, with and without preoperative anemia, respectively, remained anemic. Patients with preoperative anemia had less recovery of their hemoglobin values at one month. A trend towards higher mortality and a greater need for referral to post-hospital discharge rehabilitation centers was observed in those with preoperative anemia.
In this work, a high prevalence and incidence of anemia in the perioperative period of cardiovascular surgeries was evidenced. As well as its subtreatment and high persistence during the month after surgery.
贫血与接受大手术患者的死亡率增加有关。
本研究的目的是评估我院心血管手术术前贫血的患病率、术后发病率及其在术后第一个月的演变情况。
进行了一项前瞻性队列研究，纳入了2021年1月9日至2022年1月9日期间在一家大学医院接受中心心血管手术的所有患者。在手术前、术后第五天和术后第30天进行临床和实验室随访。比较有无术前贫血的组。
术前贫血的患病率为32.1%。既往无贫血的患者组术后贫血的发生率为96%。术后一个月，术前有贫血和无贫血的患者分别有73%和90%仍贫血。术前贫血的患者在一个月时血红蛋白值恢复较差。术前贫血患者有更高的死亡率趋势以及更需要转诊至出院后康复中心。
在本研究中，证实了心血管手术围手术期贫血的高患病率和发病率。以及其治疗不足和术后一个月内的高持续性。
