TY  - JOUR
A1  - Jung‐König, Mona
A1  - Füllenbach, Christoph
A1  - Murphy, Michael F.
A1  - Manzini, Paola
A1  - Laspina, Stefan
A1  - Pendry, Kate
A1  - Mühling, Jörg
A1  - Wikman, Agneta
A1  - Humbrecht, Catherine
A1  - Rigal, Jean‐Christophe
A1  - Lasocki, Sigismond
A1  - Folléa, Gilles
A1  - Seifried, Erhard
A1  - Müller, Markus M.
A1  - Geisen, Christof
A1  - Aranko, Kari
A1  - Zacharowski, Kai
A1  - Meybohm, Patrick
T1  - Programmes for the management of preoperative anaemia: audit in ten European hospitals within the PaBloE (Patient Blood Management in Europe) working group
JF  - Vox Sanguinis
N2  - Background and objectives
Preoperative anaemia is an independent risk factor for a higher morbidity and mortality, a longer hospitalization and increased perioperative transfusion rates. Managing preoperative anaemia is the first of three pillars of Patient Blood Management (PBM), a multidisciplinary concept to improve patient safety. While various studies provide medical information on (successful) anaemia treatment pathways, knowledge of organizational details of diagnosis and management of preoperative anaemia across Europe is scarce.

Materials and methods
To gain information on various aspects of preoperative anaemia management including organization, financing, diagnostics and treatment, we conducted a survey (74 questions) in ten hospitals from seven European nations within the PaBloE (Patient Blood Management in Europe) working group covering the year 2016.

Results
Organization and activity in the field of preoperative anaemia management were heterogeneous in the participating hospitals. Almost all hospitals had pathways for managing preoperative anaemia in place, however, only two nations had national guidelines. In six of the ten participating hospitals, preoperative anaemia management was organized by anaesthetists. Diagnostics and treatment focused on iron deficiency anaemia which, in most hospitals, was corrected with intravenous iron.

Conclusion
Implementation and approaches of preoperative anaemia management vary across Europe with a primary focus on treating iron deficiency anaemia. Findings of this survey motivated the hospitals involved to critically evaluate their practice and may also help other hospitals interested in PBM to develop action plans for diagnosis and management of preoperative anaemia.
KW  - iron deficiency
KW  - patient blood management
KW  - preoperative anaemia management
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-214049
VL  - 115
IS  - 3
SP  - 182
EP  - 191
ER  -