title: [Anemia in candidates for heart surgery].
abstract: Heart surgery patients have a high prevalence of anemia. Its etiology is multifactorial, and iron deficiency is one of the most common correctable causes. Anemia is an independent risk factor for postsurgical morbidity and mortality. It also predisposes patients to a greater need for transfusions, which increases the associated complications and the use of resources. The etiological diagnosis of anemia is no different from that of other surgical procedures, but the time available for correcting it before surgery is shorter. Studies have been conducted on therapeutic regimens with iron deficiency replenishment with total dose and erythropoiesis-stimulating agents, which enable the rapid correction of anemia and reduce transfusion requirements. There is considerable variability in terms of dosage, adverse effects, administration time and routes, drug combinations and results. New studies are needed to investigate the most ideal regimens for correcting anemia in these patients.
authors: Servicio de Anestesiología y Reanimación, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: gabrielj.yanes.sspa@juntadeandalucia.es.
authors: G J
authors: GJ
authors: Yanes Vidal
mesh_terms: D000740:Anemia / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D016063:Blood Loss, Surgical; D001803:Blood Transfusion; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D002986:Clinical Trials as Topic; D004921:Erythropoietin / Q000627:therapeutic use; D006331:Heart Diseases / Q000097:blood / Q000150:complications / Q000601:surgery; D006397:Hematinics / Q000627:therapeutic use; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007501:Iron / Q000008:administration & dosage / Q000627:therapeutic use; D019300:Medical Errors / Q000517:prevention & control; D015337:Multicenter Studies as Topic; D064887:Observational Studies as Topic; D011300:Preoperative Care / Q000379:methods*; D015995:Prevalence; D011994:Recombinant Proteins / Q000627:therapeutic use; D012307:Risk Factors
chemical_list: D006397:Hematinics; D006454:Hemoglobins; D011994:Recombinant Proteins; D004921:Erythropoietin; D007501:Iron
keywords: Ahorro de sangre; Anemia; Blood sparing; Cardiac surgery; Cirugía cardíaca; Eritropoyetina; Erythropoietin; Hierro; Iron; Transfusion; Transfusión