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November 29, 2013Journal of neurosurgery

Preoperative moderate-severe (OR 1.8; 95% CI 1.1-2.8) and mild anemia (OR 1.5; 95% CI 1.3-1.7) were associated with prolonged length of stay in patients undergoing elective cranial surgery.

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Why the study?

Does preoperative anemia increase adverse outcomes in patients undergoing elective cranial surgery?

Population

6576 patients undergoing elective cranial surgery between 2006 and 2011 identified from the National…

Comparison

Preoperative moderate to severe anemia or mild… vs No preoperative anemia (propensity score matched)

Design

Cohort

Follow-up

≤ 30 days

Key result

Preoperative moderate-severe (OR 1.8; 95% CI 1.1-2.8) and mild anemia (OR 1.5; 95% CI 1.3-1.7) were associated with prolonged length of stay in patients undergoing elective cranial surgery.

Authors

NANima AlanASAndreea SeiceanSSSinziana Seicean

Discussion

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Member takes

Overview

Does not support routine preoperative anemia correction in elective cranial surgery; leaves open whether optimization reduces length of stay.

Study Design

Type

Observational (n=6,576)

Multicenter

Yes

Structured PICO

Does preoperative anemia increase adverse outcomes in patients undergoing elective cranial surgery?

P
Population
6576 patients undergoing elective cranial surgery between 2006 and 2011 identified from the National Surgical Quality Improvement Program (NSQIP)
I
Intervention
Preoperative moderate to severe anemia (n=175) or mild anemia (n=1868)
C
Comparator
No preoperative anemia (propensity score matched)
O
Outcome
Outcomes in the immediate perioperative period (≤ 30 days) including prolonged length of stay, postoperative complications, and deathhard clinical

Main Result

Effect estimate: OR 1.8 (95% CI 1.1-2.8)

Preoperative anemia in elective cranial surgery is associated with prolonged hospital length of stay but not an overall increased risk for adverse outcomes or death.

Cite This Study

Alan et al. (2013) conducted an observational in Elective cranial surgery (n=6,576). Preoperative anemia (moderate-severe or mild) vs. No anemia was evaluated on Prolonged length of stay (LOS) (OR 1.8, 95% CI 1.1-2.8). Preoperative moderate-severe (OR 1.8; 95% CI 1.1-2.8) and mild anemia (OR 1.5; 95% CI 1.3-1.7) were associated with prolonged length of stay in patients undergoing elective cranial surgery.

synapsesocial.com/papers/6a1551c5b03a896dfa820a97https://doi.org/10.3171/2013.10.jns131028
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