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Region Hovedstaden - en del af Københavns Universitetshospital
E-pub ahead of print

Management of Perioperative Iron Deficiency in Cardiac Surgery: A Modified RAND Delphi Study

Publikation: Bidrag til tidsskriftReviewForskningpeer review

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  • Howard L Corwin
  • Aryeh Shander
  • Bruce Speiss
  • Manuel Muñoz
  • David Faraoni
  • Domenico Calcaterra
  • Ian Welsby
  • Sherri Ozawa
  • Adam Arnofsky
  • Richard S Goldweit
  • Pierre Tibi
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BACKGROUND: Over the last decade, preoperative anemia has become recognized as a clinical condition in need of management. Although the etiology of preoperative anemia can be multifactorial, two-thirds of anemic elective surgical patients have iron deficiency anemia. At the same time, one-third of non-anemic elective surgical patients are also iron deficient.

METHODS: Modified-RAND Delphi methodology was employed to identify areas of consensus among an expert panel regarding the management of iron deficiency in patients undergoing cardiac surgery. A list of statements was sent to panel members to respond to using a five-point Likert Scale. All panel members subsequently attended a face-to-face meeting. The initial survey was presented and discussed, and panel members responded to each statement on the Likert scale again. Based on the second survey, the panel came to a consensus on recommendations.

RESULTS: The panel recommended all patients undergoing cardiac surgery be evaluated for iron deficiency, whether or not anemia is present. Evaluation should include iron studies and reticulocyte hemoglobin content. If iron deficiency is present, with or without anemia, patients should receive parenteral iron. Erythropoietin stimulating agents may be appropriate for some patients.

CONCLUSIONS: Consensus of an expert panel resulted in a standardized approach to diagnosing and managing iron deficiency in patients undergoing cardiac surgery.

OriginalsprogEngelsk
TidsskriftThe Annals of thoracic surgery
ISSN0003-4975
DOI
StatusE-pub ahead of print - 17 dec. 2020
Eksternt udgivetJa

Bibliografisk note

Copyright © 2020. Published by Elsevier Inc.

ID: 61663551