ERAS QUẢN LÝ THIẾU MÁU: CÁC YẾU TỐ ẢNH HƯỞNG THIẾU MÁU TRƯỚC PHẪU THUẬT Ở NGƯỜI BỆNH UNG THƯ ĐƯỜNG TIÊU HÓA

Abstract

Background: Anemia management in the Enhanced Early Recovery After Surgery (ERAS) is an urgent and important issue in surgical patients. Objective: Determine factors affecting preoperative anemia in gastrointestinal cancer patients. Patients and methods: Prospective, cross-sectional study. We analyzed 110 patients with gastrointestinal cancer (including esophageal cancer, gastric cancer, colon cancer, rectal cancer) who were indications for scheduled surgery from December 2022 to May 2023 at Gia Dinh People's Hospital. Preoperative anemia was defined as the initial Hemoglobin (Hb) concentration at admission below 12 g/dl for women and below 13 g/dl for men. Results: Anemia was mainly found in the elderly (≥60 years old) at 64% and in men compared to women as 56%. Preoperative anemia was associated with ASA III (OR = 3.5; 95% CI: 1.40 – 8.74; p = 0.007); there was a correlation between anemia and decreased preoperative albumin levels (OR = 0.89; 95% CI: 0.81 – 0.97; p = 0.007); and TNM stage IV cancer was a factor related to preoperative anemia (OR = 20.8; 95% CI: 2.04 – 211.79; p = 0.01). Conclusion: According to the Enhanced Recovery After Surgery (ERAS) early identification of anemia and intervention on related factors are essential in managing anemia in cancer patients before surgery, aiming to optimize hemoglobin levels within the allowable time frame to improve outcomes for patients.