Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study

Anemia; Blood; Practice management

Detalles Bibliográficos
Autores: Juárez-Vela, Raúl, Andrés-Esteban, Eva María, Gea-Caballero, Vicente, Sánchez González, Juan Luis, Marcos-Neira, Pilar, Serrano-Lázaro, Ainhoa, Ruiz Rodriguez, Juan Carlos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:11351/7870
Acceso en línea:https://hdl.handle.net/11351/7870
http://hdl.handle.net/11351/7870
Access Level:acceso abierto
Palabra clave:Anèmia
Unitats de cures intensives
DISEASES::Hemic and Lymphatic Diseases::Hematologic Diseases::Anemia
ENFERMEDADES::enfermedades hematológicas y linfáticas::enfermedades hematológicas::anemia
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spelling Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter StudyJuárez-Vela, RaúlAndrés-Esteban, Eva MaríaGea-Caballero, VicenteSánchez González, Juan LuisMarcos-Neira, PilarSerrano-Lázaro, AinhoaRuiz Rodriguez, Juan CarlosAnèmiaUnitats de cures intensivesDISEASES::Hemic and Lymphatic Diseases::Hematologic Diseases::AnemiaENFERMEDADES::enfermedades hematológicas y linfáticas::enfermedades hematológicas::anemiaAnemia; Blood; Practice managementAnemia; Sangre; Gestión prácticaAnèmia; Sang; Gestió pràcticaAnemia is common in critically ill patients; almost 95% of patients admitted to intensive care units (ICUs) have hemoglobin levels below normal. Several causes may explain this phenomenon as well as the tendency to transfuse patients without adequate cause: due to a lack of adherence to protocols, lack of supervision, incomplete transfusion request forms, or a lack of knowledge about the indications, risks, and costs of transfusions. Daily sampling to monitor the coagulation parameters and the acid–base balance can aggravate anemia as the main iatrogenic factor in its production. We studied the association and importance of iatrogenic blood loss and other factors in the incidence of anemia in ICUs. We performed a prospective, observational, multicenter study in five Spanish hospitals. A total of 142 patients with a median age of 58 years (IQI: 48–69), 71.83% male and 28.17% female, were admitted to ICUs without a diagnosis of iatrogenic anemia. During their ICU stay, anemia appeared in 66.90% of the sample, 95 patients, (95% CI: 58.51–74.56%). Risk factors associated with the occurrence of iatrogenic anemia were arterial catheter insertion (72.63% vs. 46.81%, p-value = 0.003), venous catheter insertion (87.37% vs. 72.34%, p-value = 0.023), drainages (33.68% vs. 12. 77%, p-value = 0.038), and ICU stay, where the longer the stay, the higher the rate of iatrogenic anemia (p-value < 0.001). We concluded that there was a statistical significance in the production of iatrogenic anemia due to the daily sampling for laboratory monitoring and critical procedures in intensive care units. The implementation of patient blood management programs could address these issues.MDPIInstitut Català de la Salut[Juárez-Vela R] Doctoral Program in Medicine and Surgery, Autonomous University of Madrid, 28049 Madrid, Spain. Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain. Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño, Spain. [Andrés-Esteban EM] Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain. Department of Business Economics and Applied Economy, Faculty of Legal and Economic Sciences, University Rey Juan Carlos, 28032 Madrid, Spain. [Gea-Caballero V] Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain. Faculty of Health Sciences, International University of Madrid, 46010 Valencia, Spain. [Sánchez-González JL] Department of Nursing and Physiotherapy, University of Salamanca, 37007 Salamanca, Spain. [Marcos-Neira P] Intensive Care Unit, Germans Trial I Pujol Hospital, 08916 Badalona, Spain. [Serrano-Lázaro A] Intensive Care Unit, University Clinic Hospital of Valencia, 46010 Valencia, Spain. [Ruiz-Rodríguez JC] Grup de Recerca en Xoc, Disfunció Orgànica i Ressuscitació, Unitat de Cures Intensives, Vall d’Hebron Hospital Universitari, Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/7870http://hdl.handle.net/11351/7870Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésJournal of Clinical Medicine;11(4)https://doi.org/10.3390/jcm11041031Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/78702026-05-29T05:05:01Z
dc.title.none.fl_str_mv Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study
title Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study
spellingShingle Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study
Juárez-Vela, Raúl
Anèmia
Unitats de cures intensives
DISEASES::Hemic and Lymphatic Diseases::Hematologic Diseases::Anemia
ENFERMEDADES::enfermedades hematológicas y linfáticas::enfermedades hematológicas::anemia
title_short Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study
title_full Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study
title_fullStr Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study
title_full_unstemmed Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study
title_sort Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study
dc.creator.none.fl_str_mv Juárez-Vela, Raúl
Andrés-Esteban, Eva María
Gea-Caballero, Vicente
Sánchez González, Juan Luis
Marcos-Neira, Pilar
Serrano-Lázaro, Ainhoa
Ruiz Rodriguez, Juan Carlos
author Juárez-Vela, Raúl
author_facet Juárez-Vela, Raúl
Andrés-Esteban, Eva María
Gea-Caballero, Vicente
Sánchez González, Juan Luis
Marcos-Neira, Pilar
Serrano-Lázaro, Ainhoa
Ruiz Rodriguez, Juan Carlos
author_role author
author2 Andrés-Esteban, Eva María
Gea-Caballero, Vicente
Sánchez González, Juan Luis
Marcos-Neira, Pilar
Serrano-Lázaro, Ainhoa
Ruiz Rodriguez, Juan Carlos
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Juárez-Vela R] Doctoral Program in Medicine and Surgery, Autonomous University of Madrid, 28049 Madrid, Spain. Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain. Department of Nursing, GRUPAC, University of La Rioja, 26004 Logroño, Spain. [Andrés-Esteban EM] Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain. Department of Business Economics and Applied Economy, Faculty of Legal and Economic Sciences, University Rey Juan Carlos, 28032 Madrid, Spain. [Gea-Caballero V] Research Institute Idi-Paz, PBM Group, 28046 Madrid, Spain. Faculty of Health Sciences, International University of Madrid, 46010 Valencia, Spain. [Sánchez-González JL] Department of Nursing and Physiotherapy, University of Salamanca, 37007 Salamanca, Spain. [Marcos-Neira P] Intensive Care Unit, Germans Trial I Pujol Hospital, 08916 Badalona, Spain. [Serrano-Lázaro A] Intensive Care Unit, University Clinic Hospital of Valencia, 46010 Valencia, Spain. [Ruiz-Rodríguez JC] Grup de Recerca en Xoc, Disfunció Orgànica i Ressuscitació, Unitat de Cures Intensives, Vall d’Hebron Hospital Universitari, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Anèmia
Unitats de cures intensives
DISEASES::Hemic and Lymphatic Diseases::Hematologic Diseases::Anemia
ENFERMEDADES::enfermedades hematológicas y linfáticas::enfermedades hematológicas::anemia
topic Anèmia
Unitats de cures intensives
DISEASES::Hemic and Lymphatic Diseases::Hematologic Diseases::Anemia
ENFERMEDADES::enfermedades hematológicas y linfáticas::enfermedades hematológicas::anemia
description Anemia; Blood; Practice management
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/7870
http://hdl.handle.net/11351/7870
url https://hdl.handle.net/11351/7870
http://hdl.handle.net/11351/7870
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Clinical Medicine;11(4)
https://doi.org/10.3390/jcm11041031
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv Scientia
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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