• Br J Surg · Nov 2020

    Multicenter Study Observational Study

    Preoperative anaemia management in patients undergoing vascular surgery.

    • S Nandhra, M Chau, A A Klein, J A Yeates, T Collier, C Evans, S Agarwal, T Richards, and UK Cardiac and Vascular Surgery Interventional Anaemia Response (CAVIAR) study team.
    • Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, UK.
    • Br J Surg. 2020 Nov 1; 107 (12): 1558-1561.

    AbstractCAVIAR is a multicentre prospective stepped observational study encompassing 160 patients undergoing vascular intervention. The aim was to identify whether it was feasible to establish a preoperative anaemia pathway and, if so, the efficacy of intravenous iron for treatment of preoperative anaemia. Large barriers prevented implementation of an intravenous iron pathway, with only ten patients receiving intravenous iron and a small increase in haemoglobin level (mean 5·7 (95 per cent c.i. 4·5 to 6·9) g/l). Preoperative anaemia was associated with a longer hospital stay and greater transfusion requirement. Anaemia common and dedicated pathway difficult to instigate.© 2020 BJS Society Ltd Published by John Wiley & Sons Ltd.

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