PREVALENCE OF ANAEMIAAMONG PATIENTS ATTENDED PRE-ANAESTHETIC ASSESSMENT POSTED FOR OBSTETRICS & GYNAECOLOGICAL OPERATIONS AND ITS SURGICAL OUTCOME

Abstract

INTRODUCTION: Anaemia is estimated to contribute to more than 115 000 maternal deaths and 591 000 perinatal deaths globally per year. In high resource settings, even mild anaemia adversely effects surgical outcome and is independently associated with increased postoperative mortality, complications, and length of hospital stay. Therefore non-treatment of perioperative anaemia is considered 'substandard practice'. This study is designed to analyse such routinely recorded data and observe prevalence of anaemia in patients posted for obstetric and gynaecological operations. MATERIALS AND METHODS: This Observational Retrospective study was conducted in MRD, ESI-PGIMSR & MC. All elective postsurgical patients who underwent surgery in between the period of January 2017 to December 2019. Total 2073 patients were present in this study. RESULT: The severe anaemia group had 8.58 [3.65, 19.49] higher odds of experiencing any surgical complication (p<0.001) compared to nonanaemic patients. Analysis of each complication showed a 33.13 [9.57, 110.39] higher odds of unexpected ICU admission (p=0.001); a 7.29 [1.98, 21.45] higher odds of surgical site infection (p<0.001); and 7.48 [1.79, 25.78] higher odds of requiring hospital readmission (p<0.001). CONCLUSION: Severe anaemia predisposes to postoperative complications but mild anaemia does not.