Efficiency of Patient Blood Management Protocol in Gynecological Surgery Department (PERIOPESGYNECO)
- Conditions
- Anemia
- Registration Number
- NCT06493435
- Lead Sponsor
- University Hospital, Angers
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- Female
- Target Recruitment
- 160
- age > 18 years
- being hospitalised for planned hysterectomy or cancer related ovariectomy
- less than 18 years
- non french speaker
- being under a legal individual protection measure
- not being able to consent
- being opposed to data collection
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method rate of immediate pre operative anemia at 2 and 8 months after establishment of PBM protocol preoperative Hb\<13g/dL
- Secondary Outcome Measures
Name Time Method early post operative recovery at 2 and 8 months after establishment of PBM protocol FQoR 15 on the day of hospital dischage
delayed post operative recovery at 2 and 8 months after establishment of PBM protocol FQoR 15 at the post operative surgical visit
adhesion to PBM protocol (rate of anemia) at 2 and 8 months after establishment of PBM protocol comparison of rate of anemia screening
efficiency of PBM protocol (iron treatment rate) at 2 and 8 months after establishment of PBM protocol comparison of iron treatment rate
efficiency of PBM protocol (rate of screening anemia and the rate of preoperative anemia ) at 2 and 8 months after establishment of PBM protocol comparison of the rate of screening anemia and the rate of preoperative anemia
immediat effect of surgery on anemia incidence at 2 and 8 months after establishment of PBM protocol rate of post operative anemia (Hb\<12g/dL)/ rate of post operative iron treatment
adhesion to PBM protocol (missing datas) at 2 and 8 months after establishment of PBM protocol comparison of the rate of missing datas
efficiency of PBM protocol (perioperative transfusion rate) at 2 and 8 months after establishment of PBM protocol comparison of the rate of peri opeartive transfusion
efficiency of PBM protocol (mean of FQoR-15) at 2 and 8 months after establishment of PBM protocol comparison of the mean of FQoR-15
efficiency of PBM protocol (mean of FQoR-15 between patients with or without preoperative anemia) at 2 and 8 months after establishment of PBM protocol comparison of FQoR-15 means between patients with or without preoperative anemia
efficiency of PBM protocol (preoperative anemia rate) at 2 and 8 months after establishment of PBM protocol comparison of the rate of preoperative anemia
efficiency of PBM protocol (Hb level between anesthetic evaluation and pre anesthetic visit) at 2 and 8 months after establishment of PBM protocol comparison of Hb level between anesthetic evaluation and pre anesthetic visit (paired T test)
efficiency of PBM protocol (difference of hemoglobin level after iron treatment) at 2 and 8 months after establishment of PBM protocol mean difference of hemoglobin level after iron treatment
effectiveness of iron treatment at 2 and 8 months after establishment of PBM protocol rate of persistent pre operative anemia after iron treatment
rate of preoperative anemia that need to be treated diagnosed during anesthetic consultation at 2 and 8 months after establishment of PBM protocol Hb\<13 g/dL
rate of Hemoglobin dosage available during anesthetic evaluation at 2 and 8 months after establishment of PBM protocol number and rate of blood analyses
rate of preoperative iron deficiency that need to be treated diagnosed during anesthetic consultation at 2 and 8 months after establishment of PBM protocol blood ferritin level \<100 ng/mL
adequacy between diagnosed iron deficiency anemia and treatment at 2 and 8 months after establishment of PBM protocol rate of iron prescription
delayed effect of surgery on anemia incidence at 2 and 8 months after establishment of PBM protocol rate of delayed post operative anemia or iron deficiency