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Anaemia in patients undergoing major bowel surgery - Prevalence and current practice: A public and private
Edgar Poon1, David Pache1,2,3, Alana Delaforce4,5
1School of Pharmacy, The 1974University of Queensland, Woolloongabba, Australia.
Aim:
The study aimed to compare the frequency and alignment of preoperative anaemia screening and treatment with Australian guidelines in elective bowel surgery and determine the impact on clinical outcomes.
Methods:
We performed a retrospective observational study, with an audit of 559 adult patients who underwent major elective bowel surgery in an Australian metropolitan hospital, January 2016-December 2018. Outcome measures included rate of anaemia, guideline compliance, hospital length of stay, and transfusion rate.
Results:
Preoperative anaemia assessment occurred in 82.6% of patients. However, only 5.2% received recommended biochemical tests at least one week before surgery. Only 25.2% of anaemic patients received preoperative treatment; they experienced a longer hospital length of stay (9.93 days versus 7.88 days, p < 0.001) and an increased rate of transfusion (OR: 3.186, p < 0.05).
Conclusion:
The gaps between current preoperative anaemia screening, management and national guidelines may place patients at higher risk of poor surgical outcome.
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