P-OGC74 Effect of pre-operative anaemia on short-term outcomes following oesophagectomy: a 10-year retrospective cohort study
نویسندگان
چکیده
Abstract Background Pre-operative anaemia is associated with increased length of hospital stay, requirement for allogenic blood transfusion, post-operative complications and mortality. Oesophagectomy a complex procedure significant physiological insult, thus pre-operative patient optimisation imperative to improve clinical outcomes. This study aimed determine the impact on short-term outcomes following oesophagectomy benign malignant disease. Methods A retrospective cohort all oesophagectomies performed in single tertiary referral centre between 1 January 2010 31 December 2019 was performed. Patients were identified from prospectively collected database individual electronic records interrogated. dichotomised into two groups, based most recent haemoglobin. (haemoglobin <130mg/L males <120mg/L females) compared those without anaemia. missing data excluded study. followed up median 32 months (IQR 18-66). Results Of 352 patients eligible inclusion, 173 (49.1%) anaemic immediately pre-operatively. older (66 vs. 64 years, p = 0.031), lower anaerobic threshold (11.7 12.3ml/min/kg, 0.011), significantly more likely have undergone neoadjuvant chemotherapy (91.3% 78.8%, < 0.001). Patient comorbidities disease-related characteristics similar groups. require transfusion (34.7% 16.8%; However, not complications, intensive care admission, or 30- 90-day mortality rates oesophagectomy. Conclusions prior undergoing an transfusion. rate morbidity In addition, iron becoming increasingly utilised minimise incidence anaemia: this analysed
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab430.202