Is it safe to discharge geriatric trauma patients with anemia?

The consequences of discharging anemic geriatric trauma patients are not well studied. We hypothesize that anemia at discharge is associated with adverse outcomes. A 1-year retrospective review of patients ≥65 years was performed. Hemoglobin levels at admission (HbA), discharge (HbD) and the lowest...

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Veröffentlicht in:	The American journal of surgery 2018-03, Vol.215 (3), p.419-422
Hauptverfasser:	Ong, Adrian W., Jaisingh, Nick R., Butler, Susan, Sigal, Adam, Fernandez, Forrest B.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Anemia Anemia - complications Anemia - diagnosis Anemia - mortality Blood transfusions Cardiovascular disease Chronic obstructive pulmonary disease Clinical trials Critical care Female Follow-Up Studies Geriatrics Heart failure Hemoglobin Hospice care Hospitals Humans Kidney diseases Logistic Models Male Mortality Patient Discharge Patient Readmission - statistics & numerical data Patient Safety Patients Pennsylvania - epidemiology Prognosis Readmission Retrospective Studies Risk Factors Severity of Illness Index Transfusion Trauma Wounds and Injuries - complications Wounds and Injuries - mortality
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Zusammenfassung:	The consequences of discharging anemic geriatric trauma patients are not well studied. We hypothesize that anemia at discharge is associated with adverse outcomes. A 1-year retrospective review of patients ≥65 years was performed. Hemoglobin levels at admission (HbA), discharge (HbD) and the lowest inpatient level (HbL) were recorded. Severity of anemia was categorized as mild (Hb ≥ 10.0 g/dl), moderate (Hb
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2017.10.050