Perioperative anemia is associated with higher risk of red blood cell transfusion, higher rates of morbimortality and lower quality of postoperative recovery. In a context of focussing on higher quality management and improved recovery after surgery, development of Patient Blood management has increased. This study aim to assess PBM protocole in a postoperative context of gynaecological surgery, by comparing indicators at two time periods: 2 and 8 months after establishment of PBM protocol.
Study Type
OBSERVATIONAL
Enrollment
160
rate of immediate pre operative anemia
preoperative Hb\<13g/dL
Time frame: at 2 and 8 months after establishment of PBM protocol
rate of preoperative anemia that need to be treated diagnosed during anesthetic consultation
Hb\<13 g/dL
Time frame: at 2 and 8 months after establishment of PBM protocol
rate of Hemoglobin dosage available during anesthetic evaluation
number and rate of blood analyses
Time frame: at 2 and 8 months after establishment of PBM protocol
rate of preoperative iron deficiency that need to be treated diagnosed during anesthetic consultation
blood ferritin level \<100 ng/mL
Time frame: at 2 and 8 months after establishment of PBM protocol
adequacy between diagnosed iron deficiency anemia and treatment
rate of iron prescription
Time frame: at 2 and 8 months after establishment of PBM protocol
effectiveness of iron treatment
rate of persistent pre operative anemia after iron treatment
Time frame: at 2 and 8 months after establishment of PBM protocol
immediat effect of surgery on anemia incidence
rate of post operative anemia (Hb\<12g/dL)/ rate of post operative iron treatment
Time frame: at 2 and 8 months after establishment of PBM protocol
delayed effect of surgery on anemia incidence
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rate of delayed post operative anemia or iron deficiency
Time frame: at 2 and 8 months after establishment of PBM protocol
early post operative recovery
FQoR 15 on the day of hospital dischage
Time frame: at 2 and 8 months after establishment of PBM protocol
delayed post operative recovery
FQoR 15 at the post operative surgical visit
Time frame: at 2 and 8 months after establishment of PBM protocol
adhesion to PBM protocol (rate of anemia)
comparison of rate of anemia screening
Time frame: at 2 and 8 months after establishment of PBM protocol
efficiency of PBM protocol (iron treatment rate)
comparison of iron treatment rate
Time frame: at 2 and 8 months after establishment of PBM protocol
adhesion to PBM protocol (missing datas)
comparison of the rate of missing datas
Time frame: at 2 and 8 months after establishment of PBM protocol
efficiency of PBM protocol (preoperative anemia rate)
comparison of the rate of preoperative anemia
Time frame: at 2 and 8 months after establishment of PBM protocol
efficiency of PBM protocol (perioperative transfusion rate)
comparison of the rate of peri opeartive transfusion
Time frame: at 2 and 8 months after establishment of PBM protocol
efficiency of PBM protocol (mean of FQoR-15)
comparison of the mean of FQoR-15
Time frame: at 2 and 8 months after establishment of PBM protocol
efficiency of PBM protocol (mean of FQoR-15 between patients with or without preoperative anemia)
comparison of FQoR-15 means between patients with or without preoperative anemia
Time frame: at 2 and 8 months after establishment of PBM protocol
efficiency of PBM protocol (rate of screening anemia and the rate of preoperative anemia )
comparison of the rate of screening anemia and the rate of preoperative anemia
Time frame: at 2 and 8 months after establishment of PBM protocol
efficiency of PBM protocol (Hb level between anesthetic evaluation and pre anesthetic visit)
comparison of Hb level between anesthetic evaluation and pre anesthetic visit (paired T test)
Time frame: at 2 and 8 months after establishment of PBM protocol
efficiency of PBM protocol (difference of hemoglobin level after iron treatment)
mean difference of hemoglobin level after iron treatment
Time frame: at 2 and 8 months after establishment of PBM protocol