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Getting patient blood management Pillar 1 right in the Asia-Pacific: a call for action

Abstract :

Preoperative anaemia is common in the Asia-Pacific. Iron-deficiency anaemia (IDA) is a risk factor that can be addressed under patient blood management (PBM) Pillar 1, leading to reduced morbidity and mortality. We examined PBM implementation under four different healthcare systems, identified challenges and proposed several measures. (a) Test for anaemia once patients are scheduled for surgery. (b) Inform patients about risks of preoperative anaemia and benefits of treatment. (c) Treat IDA and replenish iron stores before surgery, using intravenous iron when oral treatment is ineffective, not tolerated or rapid iron replenishment is needed; transfusion should not be the default management. (d) Harness support from multiple medical disciplines and relevant bodies to promote PBM implementation. (e) Demonstrate better outcomes and cost savings from reduced mortality and morbidity. Although PBM implementation may seem complex and daunting, it is feasible to start small. Implementing PBM Pillar 1, particularly in preoperative patients, is a sensible first step regardless of the healthcare setting.

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https://hal.univ-angers.fr/hal-02616953
Contributeur : Okina Université d'Angers <>
Soumis le : lundi 25 mai 2020 - 04:42:59
Dernière modification le : mardi 26 mai 2020 - 03:48:27

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Hairil Abdullah, Ai Ang, Bernd Froessler, Axel Hofmann, Jun Jang, et al.. Getting patient blood management Pillar 1 right in the Asia-Pacific: a call for action. Singapore Medical Journal, Singapore Medical Association, 2019, Non spécifié. ⟨10.11622/smedj.2019037⟩. ⟨hal-02616953⟩

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