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Predictive value of hemoglobin level and subclinical iron deficiency on perioperative morbidity and mortality in patients undergoing cardiac surgeries

Article

Last updated: 22 Jan 2023

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Abstract

Abstract
Background: There are several dangers and adverse effects associated with red blood cell transfusions, which are often administered after surgery due to anemia. Our thesis is to assess the significance of hemoglobin level and subclinical iron insufficiency on perioperative morbidity and mortality in patients having heart surgery. Patients and Methods: This study conducted on 30 patients undergoing different cardiac surgeries during the period from May 1, 2021, and April 30, 2022. Results: Negative correlation between hospital length of stay and both hemoglobin and serum iron levels (r = -0.807, p 0.001). Patients who required a blood transfusion, developed an infection, had problems, were admitted to ICU, or died had substantially lower iron levels than the rest of the patients (p 0.001). Statistically significant association between Hb and the occurrence of problems (AUC = 0.994, p 0.001). The sensitivity is 100% and the specificity is 91.3%. Complications are strongly predicted by serum iron levels (AUC = 0.988, p 0.001). ICU admission may be predicted with high accuracy by Hb (AUC = 1.000, p 0.001). The sensitivity and specificity are both one hundred percent at a cut off value of 9. ICU admission can be predicted with a high degree of accuracy by serum iron levels (AUC=1.000, p0.001). The sensitivity and specificity are both one hundred percent at a cutoff value of 80. Conclusion: The results of cardiac surgery were worse for patients who had anemia prior to surgery.

DOI

10.21608/bmfj.2022.158881.1653

Keywords

hemoglobin level, predictive value, iron deficiency anemia, perioperative morbidity and mortality in cardiac surgeries

Authors

First Name

Mohammed

Last Name

Mohammed

MiddleName

Ahmed

Affiliation

internal medicine, faculty of medicine, Benha university, Benha, Egypt

Email

mohamed.mohamed06@fmed.bu.edu.eg

City

-

Orcid

-

First Name

Nabil

Last Name

Khattab

MiddleName

Attia

Affiliation

internal medicine, faculty of medicine, Benha university, Benha, Egypt

Email

nabil.e@fmed.bu.edu.eg

City

-

Orcid

-

First Name

AHMED

Last Name

MOTAWEA

MiddleName

-

Affiliation

internal medicine, faculty of medicine, benha university, Benha, Egypt

Email

aahmm98@gmail.com

City

Benha

Orcid

-

First Name

Mohammed

Last Name

Elgazzar

MiddleName

Ahmed

Affiliation

Cardiothoracic surgery, faculty of medicine, benha university, Benha, Egypt

Email

mohamed.elgazar@fmed.bu.edu.eg

City

-

Orcid

-

First Name

yousry

Last Name

rizk

MiddleName

el-saied

Affiliation

cardiothoracic surgery, faculty of medicine, benha university, Benha, Egypt

Email

yosry.hayes@fmed.bu.edu.eg

City

-

Orcid

-

First Name

Basma

Last Name

Hani Elsayed

MiddleName

Mohammed

Affiliation

Public health and Community Medicine, Faculty of Medicine, Benha Univ., Benha, Egypt

Email

basma.hany@fmed.bu.edu.eg

City

-

Orcid

-

First Name

Medhat

Last Name

Ali Khalil

MiddleName

Abd Elmonem

Affiliation

Internal Medicine, Faculty of Medicine, Benha University, Benha, Egypt

Email

medhat.khalil@fmed.bu.edu.eg

City

-

Orcid

-

Volume

39

Article Issue

3

Related Issue

37588

Issue Date

2022-11-01

Receive Date

2022-08-29

Publish Date

2022-11-01

Page Start

858

Page End

867

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_259029.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=259029

Order

9

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

-

Details

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Article

Created At

22 Jan 2023