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05388nas a22003257a 4500 |
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OSt |
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20210506161257.0 |
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| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1138-7262 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Disminución de la hemoglobina en pacientes postquirúrgicos y muestras sanguíneas diagnósticas = |
| Remainder of title |
Decrease of hemoglobin in post-surgical patients and diagnostic blood testing / |
| Statement of responsibility, etc. |
Tania Tineo Drove, María Angeles Santos Ampuero, Angélica Ramos Herrera, Sonia Jiménez García, Itziar Iturralde González, Lorena Vega Piris, Francisco Rodríguez Salvanés, Mercedes Gómez Puyuelo |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.11 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
La anemia es un problema frecuente en los pacientes ingresados en cuidados intensivos. Su etiología es multifactorial, aumentando los requerimientos transfusionales y la morbimortalidad.<br/>Objetivo: conocer la prevalencia de anemia y transfusión de los pacientes postquirúrgicos durante los cinco primeros días de ingreso en la unidad de reanimación y si existe relación con las pérdidas sanguíneas por la obtención de muestras analíticas.<br/>Material y métodos: estudio descriptivo, observacional y retrospectivo, de los pacientes ingresados en la unidad de reanimación postquirúrgica, desde enero a diciembre de 2008, del Hospital Universitario de “La Princesa” (Madrid). Se incluyeron en el estudio los pacientes postquirúrgicos ingresados en la unidad de reanimación durante un tiempo igual o superior a cinco días. Se excluyeron del estudio a los fallecidos durante ese periodo, sometidos a cirugía cardiaca, los politraumatizados y aquéllos con una tendencia hemorrágica mayor a la habitual. Se analizaron datos relativos a la anemia, las transfusiones y las pérdidas de masa eritrocitaria y volumen sanguíneo de las extracciones de muestras para análisis.<br/>Resultados: se han revisado las historias clínicas de los 65 pacientes ingresados que cumplían los criterios de inclusión. La prevalencia de anemia al ingreso es de un 86%, un 89,83% de los pacientes fueron transfundidos durante los cinco primeros días de ingreso, precisando una media de 1,20 concentrados de hematíes por paciente. Existe una disminución de la Hb de 1,32 g/dl (IC 95%: 0,81-1,83 g/dl), a pesar de ser pacientes politransfundidos, pero no hay relación significativa entre ésta y las extracciones de sangre para análisis. <br/>Conclusiones: la anemia tiene una prevalencia elevada al ingreso en la unidad de reanimación y durante los cinco primeros días los niveles de hemoglobina en sangre continúan en descenso, a pesar de ser pacientes con una elevada tasa de transfusión. Las pérdidas sanguíneas por extracciones son constantes durante la estancia, pero no se ha encontrando relación con la disminución de hemoglobina en sangre. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Anemia is a common problem in patients admitted to the Intensive Care Unit. It has a multifactorial etiology, with increased transfusion requirements and higher morbimortality.<br/>Objective: to ascertain the prevalence of anemia and the transfusion of post-surgical patients during the first five days of admission to the recovery room, and if there is blood loss related to the collection of blood samples for laboratory work.<br/>Material and methods: a descriptive, observational and retrospective study of patients admitted to the postoperative recovery unit, from january to december 2008, at the “The Princess” University Hospital (Madrid). Post-surgical patients admitted to the recovery room for a period of no less than five days were included in the study. Those patients who had died during the study period, those who had undergone cardiac surgery, those with multiple trauma injuries and those with a tendency higher than usual to bleed were excluded from analysis. Data relative to anemia, transfusions and loss of blood volume and red cell mass from the withdrawals of blood samples for analysis were analyzed.<br/>Results: the medical records of 65 in-patients who met the inclusion criteria were reviewed. The prevalence of anemia on admission is 86%, a 89.83% of the patients were transfused during the first five days of hospitalization, requiring an average of 1.20 erythrocyte concentrates per patient. There is a decrease in Hb of 1.32 g/dl (95% CI: 0.81 to 1.83 g/dl), despite being polytransfused patients, but there is no significant relationship between this and the blood drawn for laboratory purposes. <br/>Conclusions: anemia has a high prevalence on admission to the recovery room and during the first five days blood hemoglobin levels continue to decline, despite being patients with high transfusion rate. Blood loss due to blood drawing are constant during the stay, but no relationship has been found with decreased blood hemoglobin.<br/> |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
anemia iatrogénica |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
paciente quirúrgico |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
flebotomías diagnósticas |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
postoperatorio |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
cuidados críticos |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
Iatrogenic anemia |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
surgical patient |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
diagnostic phlebotomy |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
post-operatively |
| 653 ## - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
critical care |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2012 (dic) / 2013 (ene) v. 15, n. 10, p. 6-11 |
| Title |
Metas de enfermería. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
