Anemia, Iron-Deficiency Clinical Trial
Official title:
Pre-operative Treatment With Erythropoietin and Iron Supplement for Prevention of Perioperative Blood Transfusion in Cardiac Surgery
Pre-treatment of patients with erythropoietin subcutaneously and iron supplement intravenously, in order to create a clinical pathway to minimize transfusion of red blood cells in a selected group of cardiac patients with an increased risk for blood transfusions in our cardiac surgery program.
Blood transfusion is identified as an independent predictor of early mortality after
Coronary artery bypass grafting operations In addition, female gender, lower body surface
area (BSA), low preoperative Hemoglobin (Hb), previous cardiac surgery, emergency operation
and low preoperative creatinin clearance were found to be independent risk factors for
receiving Red Blood Cells (RBC) units.
We create a clinical pathway to reduce transfusion of red blood cells by pretreating
patients with erythropoietin and iron to determine the reduction of number of patients who
receive blood transfusion perioperatively. Also we want to investigate the decrease in the
mean number of RBC units received per patient in the perioperative period.
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