Preoperative anaemia management in patients undergoing vascular surgery

UK Cardiac and Vascular Surgery Interventional Anaemia Response (CAVIAR) study team

doi:10.1002/bjs.12041

Preoperative anaemia management in patients undergoing vascular surgery

UK Cardiac and Vascular Surgery Interventional Anaemia Response (CAVIAR) study team

Cardiovascular Sciences

Freeman Hospital
Univ London, Birkbeck University London, University College London, University of London Royal Veterinary College, University of London, St Georges University London, Imperial College London, Kings College London, Royal Holloway University London, Queen Mary University London, Div Populat Hlth Sci & Educ
University of Cambridge Department of Medical Genetics, NIHR Cambridge Biomedical Research Centre, and Cancer Research UK Cambridge Centre, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK; NIHR BioResource, Cambridge University Hospitals, Cambridge Biomedical Campus, Cambridge CB2 0QQ, UK.
From the Department of Anaesthesia, Royal Surrey County Hospital, Guildford (AH, WK) and Department of Anaesthesia, Tunbridge Wells Hospital, Tunbridge Wells, Kent, UK (PM).
London School of Economics and Political Science (LSE) and London School of Hygiene and Tropical Medicine (LSHTM)
University Hospital of Wales Healthcare NHS Trust
Clinical Genetics, Manchester University NHS Foundation Trust, Manchester, UK.
1] Department of Pulmonary Physiology and Sleep Medicine, Nedlands, Western Australia, Australia. [2] School of Medicine and Pharmacology, University of Western Australia, Crawley, Western Australia, Australia.

Research output: Contribution to journal › Article › peer-review

7 Citations (Scopus)

Abstract

CAVIAR is a multicentre prospective stepped observational study encompassing 160 patients undergoing vascular intervention. The aim was to identify whether it was feasible to establish a preoperative anaemia pathway and, if so, the efficacy of intravenous iron for treatment of preoperative anaemia. Large barriers prevented implementation of an intravenous iron pathway, with only ten patients receiving intravenous iron and a small increase in haemoglobin level (mean 5·7 (95 per cent c.i. 4·5 to 6·9) g/l). Preoperative anaemia was associated with a longer hospital stay and greater transfusion requirement. Anaemia common and dedicated pathway difficult to instigate.

Original language	English
Pages (from-to)	1558-1561
Number of pages	4
Journal	The British journal of surgery
Volume	107
Issue number	12
DOIs	https://doi.org/10.1002/bjs.12041
Publication status	Published - Nov 2020

Keywords

Aged
Anemia/complications
Blood Transfusion/statistics & numerical data
Critical Pathways
Female
Humans
Length of Stay/statistics & numerical data
Male
Perioperative Care/methods
Prospective Studies
Vascular Surgical Procedures/methods

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10.1002/bjs.12041

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title = "Preoperative anaemia management in patients undergoing vascular surgery",

abstract = "CAVIAR is a multicentre prospective stepped observational study encompassing 160 patients undergoing vascular intervention. The aim was to identify whether it was feasible to establish a preoperative anaemia pathway and, if so, the efficacy of intravenous iron for treatment of preoperative anaemia. Large barriers prevented implementation of an intravenous iron pathway, with only ten patients receiving intravenous iron and a small increase in haemoglobin level (mean 5·7 (95 per cent c.i. 4·5 to 6·9) g/l). Preoperative anaemia was associated with a longer hospital stay and greater transfusion requirement. Anaemia common and dedicated pathway difficult to instigate.",

keywords = "Aged, Anemia/complications, Blood Transfusion/statistics & numerical data, Critical Pathways, Female, Humans, Length of Stay/statistics & numerical data, Male, Perioperative Care/methods, Prospective Studies, Vascular Surgical Procedures/methods",

author = "{UK Cardiac and Vascular Surgery Interventional Anaemia Response (CAVIAR) study team} and S Nandhra and M Chau and Klein, {A A} and Yeates, {J A} and T Collier and C Evans and S Agarwal and T Richards and Gudrun Kunst",

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year = "2020",

month = nov,

doi = "10.1002/bjs.12041",

language = "English",

volume = "107",

pages = "1558--1561",

journal = "The British journal of surgery",

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TY - JOUR

T1 - Preoperative anaemia management in patients undergoing vascular surgery

AU - UK Cardiac and Vascular Surgery Interventional Anaemia Response (CAVIAR) study team

AU - Nandhra, S

AU - Chau, M

AU - Klein, A A

AU - Yeates, J A

AU - Collier, T

AU - Evans, C

AU - Agarwal, S

AU - Richards, T

AU - Kunst, Gudrun

PY - 2020/11

Y1 - 2020/11

N2 - CAVIAR is a multicentre prospective stepped observational study encompassing 160 patients undergoing vascular intervention. The aim was to identify whether it was feasible to establish a preoperative anaemia pathway and, if so, the efficacy of intravenous iron for treatment of preoperative anaemia. Large barriers prevented implementation of an intravenous iron pathway, with only ten patients receiving intravenous iron and a small increase in haemoglobin level (mean 5·7 (95 per cent c.i. 4·5 to 6·9) g/l). Preoperative anaemia was associated with a longer hospital stay and greater transfusion requirement. Anaemia common and dedicated pathway difficult to instigate.

AB - CAVIAR is a multicentre prospective stepped observational study encompassing 160 patients undergoing vascular intervention. The aim was to identify whether it was feasible to establish a preoperative anaemia pathway and, if so, the efficacy of intravenous iron for treatment of preoperative anaemia. Large barriers prevented implementation of an intravenous iron pathway, with only ten patients receiving intravenous iron and a small increase in haemoglobin level (mean 5·7 (95 per cent c.i. 4·5 to 6·9) g/l). Preoperative anaemia was associated with a longer hospital stay and greater transfusion requirement. Anaemia common and dedicated pathway difficult to instigate.

KW - Aged

KW - Anemia/complications

KW - Blood Transfusion/statistics & numerical data

KW - Critical Pathways

KW - Female

KW - Humans

KW - Length of Stay/statistics & numerical data

KW - Male

KW - Perioperative Care/methods

KW - Prospective Studies

KW - Vascular Surgical Procedures/methods

U2 - 10.1002/bjs.12041

DO - 10.1002/bjs.12041

M3 - Article

C2 - 32996596

SN - 0007-1323

VL - 107

SP - 1558

EP - 1561

JO - The British journal of surgery

JF - The British journal of surgery

IS - 12

ER -

Preoperative anaemia management in patients undergoing vascular surgery

Abstract

Keywords

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