Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana
Introduction. Several studies suggest that preoperative anaemia (PA) is associated with adverse postoperative outcomes, but little is known about these outcomes in the Central Region of Ghana. This study aims to determine the prevalence of PA among noncardiac surgical patients and its implications f...
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| Format: | Article |
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Wiley
2017-01-01
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| Series: | Anesthesiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2017/7410960 |
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| author | Gladys Amponsah Alice Charwudzi |
| author_facet | Gladys Amponsah Alice Charwudzi |
| author_sort | Gladys Amponsah |
| collection | DOAJ |
| description | Introduction. Several studies suggest that preoperative anaemia (PA) is associated with adverse postoperative outcomes, but little is known about these outcomes in the Central Region of Ghana. This study aims to determine the prevalence of PA among noncardiac surgical patients and its implications for their postoperative outcomes. Methods. This study was designed as an observational study; data including demographics and clinical and laboratory results were collected from the patients’ records and through interviews. Results. A total of 893 inpatient surgical cases undergoing elective and emergency operations, aged 15 years and above with mean age of 44.2 ± 17.0 yrs, were enrolled. The prevalence of PA was 54.3%, mostly microcytic with or without hypochromia (57.2%). The prevalence was higher in females than males (p≤0.001). Preoperative anaemia was significantly associated with prolonged length of hospital stay (OR: 2.12 (95% CI: 1.49–3.10)). Allogeneic blood transfusion significantly prolonged the length of hospital stay (OR 4.48 (95% CI: 2.67–7.51)). 15.5% of the anaemic patients received oral iron supplements compared to 2.2% of nonanaemic patients (p≤0.001). Conclusion. Preoperative anaemia is common among noncardiac surgical patients. It is independently and significantly associated with prolonged hospital stay leading to the use of increased healthcare resources. It is also the main predictor for perioperative allogeneic blood transfusions and the use of haematinics. |
| format | Article |
| id | doaj-art-bae91e04f0794bc4aa0112d0c4eba513 |
| institution | OA Journals |
| issn | 1687-6962 1687-6970 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
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| series | Anesthesiology Research and Practice |
| spelling | doaj-art-bae91e04f0794bc4aa0112d0c4eba5132025-08-20T02:19:21ZengWileyAnesthesiology Research and Practice1687-69621687-69702017-01-01201710.1155/2017/74109607410960Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of GhanaGladys Amponsah0Alice Charwudzi1Department of Anaesthesia and Pain Management, School of Medical Sciences, University of Cape Coast, Cape Coast, GhanaDepartment of Chemical Pathology, School of Medical Sciences, University of Cape Coast, Cape Coast, GhanaIntroduction. Several studies suggest that preoperative anaemia (PA) is associated with adverse postoperative outcomes, but little is known about these outcomes in the Central Region of Ghana. This study aims to determine the prevalence of PA among noncardiac surgical patients and its implications for their postoperative outcomes. Methods. This study was designed as an observational study; data including demographics and clinical and laboratory results were collected from the patients’ records and through interviews. Results. A total of 893 inpatient surgical cases undergoing elective and emergency operations, aged 15 years and above with mean age of 44.2 ± 17.0 yrs, were enrolled. The prevalence of PA was 54.3%, mostly microcytic with or without hypochromia (57.2%). The prevalence was higher in females than males (p≤0.001). Preoperative anaemia was significantly associated with prolonged length of hospital stay (OR: 2.12 (95% CI: 1.49–3.10)). Allogeneic blood transfusion significantly prolonged the length of hospital stay (OR 4.48 (95% CI: 2.67–7.51)). 15.5% of the anaemic patients received oral iron supplements compared to 2.2% of nonanaemic patients (p≤0.001). Conclusion. Preoperative anaemia is common among noncardiac surgical patients. It is independently and significantly associated with prolonged hospital stay leading to the use of increased healthcare resources. It is also the main predictor for perioperative allogeneic blood transfusions and the use of haematinics.http://dx.doi.org/10.1155/2017/7410960 |
| spellingShingle | Gladys Amponsah Alice Charwudzi Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana Anesthesiology Research and Practice |
| title | Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana |
| title_full | Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana |
| title_fullStr | Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana |
| title_full_unstemmed | Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana |
| title_short | Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana |
| title_sort | preoperative anaemia and associated postoperative outcomes in noncardiac surgery patients in central region of ghana |
| url | http://dx.doi.org/10.1155/2017/7410960 |
| work_keys_str_mv | AT gladysamponsah preoperativeanaemiaandassociatedpostoperativeoutcomesinnoncardiacsurgerypatientsincentralregionofghana AT alicecharwudzi preoperativeanaemiaandassociatedpostoperativeoutcomesinnoncardiacsurgerypatientsincentralregionofghana |