Preoperative anemia is highly prevalent in major surgery. The haemoglobin (Hb)
\nlevel is the main independent risk factor for allogeneic blood transfusion (ABT) in
\nsurgeries with moderate to high risk of bleeding. Transfusion and preoperative anemia
\nhave been associated with worse postoperative outcome and higher mortality
\nin patients undergoing major surgery. On the other hand, hematinic deficiency
\nwithout anemia may blunt the recovery from postoperative anemia. Thus, early
\ndetection and appropriated treatment of anemia in the preoperative setting may
\nreduce the need for transfusion and its negative consequences.
\nTwo multidisciplinary panels of physicians were convened by the \u2018Network for
\nthe Advancement of Transfusion Alternatives\u2019 (NATA) with the aim of developing
\npractice guidelines for the detection and management of preoperative anemia,
\nreviewing the role of intravenous iron, and formulating recommendations using the
\nGRADE working group methodology. The panels recommend that: (1) elective
\northopedic surgical patients should have an Hb level determination 4 weeks before
\nsurgery, if possible (Grade 1C); (2) further laboratory testing for differential diagnosis
\nin those with anemia (Grade 1C) and (3) nutritional deficiencies should be treated
\nto rising Hb before surgery to be within the normal range (Grade 1C). Finally, the
\npanels suggest that: (1) erythropoiesis-stimulating agents be used for anaemic
\npatients in whom nutritional deficiencies have been ruled out, corrected, or both
\n(Grade 2A) and (2) intravenous iron administration during the preoperative period
\nfor patients undergoing orthopedic surgery who are expected to develop severe
\npostoperative anemia (Grade 2B).<\/div>\n","protected":false},"excerpt":{"rendered":"

Editorial: ISBT Science Series Fecha: 01\/07\/2012 E. Bisbe & M. Mu\u00f1oz Acceso al enlace publicador Preoperative anemia is highly prevalent<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[],"_links":{"self":[{"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/posts\/426"}],"collection":[{"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/comments?post=426"}],"version-history":[{"count":1,"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/posts\/426\/revisions"}],"predecessor-version":[{"id":625,"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/posts\/426\/revisions\/625"}],"wp:attachment":[{"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/media?parent=426"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/categories?post=426"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/awge.doctime.es\/index.php\/wp-json\/wp\/v2\/tags?post=426"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}