Background: There are several dangers and adverse effects
associated with red blood cell transfusions, which are often
administered after surgery due to anemia. Our aim 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 was 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). those showed 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. |
