Severe anemia linked to poorer heart surgery outcomes

Severe anemia linked to poorer heart surgery outcomes
Adults undergoing cardiac surgery who have moderate-to-severe preoperative anemia have significantly increased morbidity and mortality compared with non-severely anemic patients, according to research published in the October issue of the Annals of Thoracic Surgery.

(HealthDay)—Adults undergoing cardiac surgery who have moderate-to-severe preoperative anemia have significantly increased morbidity and mortality compared with non-severely anemic patients, according to research published in the October issue of the Annals of Thoracic Surgery.

Marco Ranucci, M.D., of the Istituto di Ricovero e Cura a Carattere Scientifico Policlinico San Donato in Milan, and colleagues conducted a to examine postoperative outcomes for 401 adult patients with severe preoperative anemia (hematocrit <30 percent) who underwent . Postoperative morbidity and mortality were compared with those of a control group of 401 propensity matched non-severely anemic patients.

The researchers found that preoperative comorbidities and operative details were comparable between the groups. For patients with severe preoperative anemia, there was a significantly higher rate of stroke (1 versus 0 percent; P = 0.045), major morbidity (27.4 versus 17.5 percent; P = 0.001), and (12.7 versus 7.5 percent; P = 0.014). These results were confirmed on additional analysis which included patients with moderate preoperative anemia.

"Moderate-to-severe preoperative anemia is a risk factor for major morbidity and operative mortality in adult cardiac operations," the authors write. "This finding is confirmative of the role of preoperative anemia in determining adverse events in major non-cardiac operations."

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Breakthrough could prevent hip implant replacement

Sep 30, 2014

Hip implants rely on the normal functioning of bone cells to achieve fixation of the implant with the bone. However, small metal particles released from hip implants, due to friction between the moving surfaces, ...

Ultrasound can accurately diagnose carpal tunnel

Sep 30, 2014

(HealthDay)—Ultrasound can accurately confirm the diagnosis of carpal tunnel syndrome, according to a study published in the Sept. 3 issue of The Journal of Bone & Joint Surgery.

User comments