Recognising anaemia and malnutrition in vascular patients with critical limb ischaemia

M. Shah, A. Martin, B. Myers, S. MacSweeney, T. Richards

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

INTRODUCTION: Anaemia is a common problem in surgical patients. Patients with critical limb ischaemia (CLI) suffer chronic inflammation, repeated infection, require intervention, and can have a protracted hospital stay. The aims of this study were to assess anaemia and nutritional status in patients presenting with CLI. PATIENTS AND METHODS: Two observational studies were undertaken, initially a retrospective series of 27 patients with CLI. Patient demographics, clinical details, transfusion status and in-patient laboratory haemoglobin values (Hb) were recorded. In a prospective series of 32 patients, laboratory markers to identify the cause for anaemia were assessed. Further nutritional status was assessed by records of height, weight, body mass index and a validated scoring system. RESULTS: In the retrospective series, 15 patients (56%) were anaemic. Ten (37%) were transfused a median of 2 units (range, 2-13), a total of 35 units. Patients who were transfused had lower Hb on admission (P = 0.0019), most were anaemic on admission (90%). At discharge, most patients were anaemic (n = 23; 83%). In the prospective series of 32 patients, 20 (63%) were anaemic. Nutritional assessment was performed on 18, only seven patients were scored undernourished. This was increased to 23 by an independent assessor. Anaemia was associated with malnutrition (n = 17; P = 0.049) and an increased hospital stay (mean 25 days [SD 16] vs mean 12 days [SD 8], P = 0.0125; total 513 vs 144 bed days). CONCLUSIONS: Anaemia and poor nutrition are common and not recognised in vascular patients presenting with critical limb ischaemia. Anaemia is associated with and increased length of hospital stay.

Original languageEnglish
Pages (from-to)495-498
Number of pages4
JournalAnnals of the Royal College of Surgeons of England
Volume92
Issue number6
DOIs
Publication statusPublished - 1 Sep 2010
Externally publishedYes

Fingerprint

Malnutrition
Blood Vessels
Anemia
Ischemia
Extremities
Length of Stay
Nutritional Status
Nutrition Assessment
Observational Studies
Hemoglobins
Body Mass Index
Biomarkers
Demography
Inflammation
Weights and Measures

Cite this

@article{96b91576d1584049b7f8d24ef12167d0,
title = "Recognising anaemia and malnutrition in vascular patients with critical limb ischaemia",
abstract = "INTRODUCTION: Anaemia is a common problem in surgical patients. Patients with critical limb ischaemia (CLI) suffer chronic inflammation, repeated infection, require intervention, and can have a protracted hospital stay. The aims of this study were to assess anaemia and nutritional status in patients presenting with CLI. PATIENTS AND METHODS: Two observational studies were undertaken, initially a retrospective series of 27 patients with CLI. Patient demographics, clinical details, transfusion status and in-patient laboratory haemoglobin values (Hb) were recorded. In a prospective series of 32 patients, laboratory markers to identify the cause for anaemia were assessed. Further nutritional status was assessed by records of height, weight, body mass index and a validated scoring system. RESULTS: In the retrospective series, 15 patients (56{\%}) were anaemic. Ten (37{\%}) were transfused a median of 2 units (range, 2-13), a total of 35 units. Patients who were transfused had lower Hb on admission (P = 0.0019), most were anaemic on admission (90{\%}). At discharge, most patients were anaemic (n = 23; 83{\%}). In the prospective series of 32 patients, 20 (63{\%}) were anaemic. Nutritional assessment was performed on 18, only seven patients were scored undernourished. This was increased to 23 by an independent assessor. Anaemia was associated with malnutrition (n = 17; P = 0.049) and an increased hospital stay (mean 25 days [SD 16] vs mean 12 days [SD 8], P = 0.0125; total 513 vs 144 bed days). CONCLUSIONS: Anaemia and poor nutrition are common and not recognised in vascular patients presenting with critical limb ischaemia. Anaemia is associated with and increased length of hospital stay.",
keywords = "Anaemia, Critical limb ischaemia, Malnutrition",
author = "M. Shah and A. Martin and B. Myers and S. MacSweeney and T. Richards",
year = "2010",
month = "9",
day = "1",
doi = "10.1308/003588410X12664192075738",
language = "English",
volume = "92",
pages = "495--498",
journal = "Annals of the Royal College of Surgeons England",
issn = "0035-8843",
publisher = "Royal College of Surgeons of England",
number = "6",

}

Recognising anaemia and malnutrition in vascular patients with critical limb ischaemia. / Shah, M.; Martin, A.; Myers, B.; MacSweeney, S.; Richards, T.

In: Annals of the Royal College of Surgeons of England, Vol. 92, No. 6, 01.09.2010, p. 495-498.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Recognising anaemia and malnutrition in vascular patients with critical limb ischaemia

AU - Shah, M.

AU - Martin, A.

AU - Myers, B.

AU - MacSweeney, S.

AU - Richards, T.

PY - 2010/9/1

Y1 - 2010/9/1

N2 - INTRODUCTION: Anaemia is a common problem in surgical patients. Patients with critical limb ischaemia (CLI) suffer chronic inflammation, repeated infection, require intervention, and can have a protracted hospital stay. The aims of this study were to assess anaemia and nutritional status in patients presenting with CLI. PATIENTS AND METHODS: Two observational studies were undertaken, initially a retrospective series of 27 patients with CLI. Patient demographics, clinical details, transfusion status and in-patient laboratory haemoglobin values (Hb) were recorded. In a prospective series of 32 patients, laboratory markers to identify the cause for anaemia were assessed. Further nutritional status was assessed by records of height, weight, body mass index and a validated scoring system. RESULTS: In the retrospective series, 15 patients (56%) were anaemic. Ten (37%) were transfused a median of 2 units (range, 2-13), a total of 35 units. Patients who were transfused had lower Hb on admission (P = 0.0019), most were anaemic on admission (90%). At discharge, most patients were anaemic (n = 23; 83%). In the prospective series of 32 patients, 20 (63%) were anaemic. Nutritional assessment was performed on 18, only seven patients were scored undernourished. This was increased to 23 by an independent assessor. Anaemia was associated with malnutrition (n = 17; P = 0.049) and an increased hospital stay (mean 25 days [SD 16] vs mean 12 days [SD 8], P = 0.0125; total 513 vs 144 bed days). CONCLUSIONS: Anaemia and poor nutrition are common and not recognised in vascular patients presenting with critical limb ischaemia. Anaemia is associated with and increased length of hospital stay.

AB - INTRODUCTION: Anaemia is a common problem in surgical patients. Patients with critical limb ischaemia (CLI) suffer chronic inflammation, repeated infection, require intervention, and can have a protracted hospital stay. The aims of this study were to assess anaemia and nutritional status in patients presenting with CLI. PATIENTS AND METHODS: Two observational studies were undertaken, initially a retrospective series of 27 patients with CLI. Patient demographics, clinical details, transfusion status and in-patient laboratory haemoglobin values (Hb) were recorded. In a prospective series of 32 patients, laboratory markers to identify the cause for anaemia were assessed. Further nutritional status was assessed by records of height, weight, body mass index and a validated scoring system. RESULTS: In the retrospective series, 15 patients (56%) were anaemic. Ten (37%) were transfused a median of 2 units (range, 2-13), a total of 35 units. Patients who were transfused had lower Hb on admission (P = 0.0019), most were anaemic on admission (90%). At discharge, most patients were anaemic (n = 23; 83%). In the prospective series of 32 patients, 20 (63%) were anaemic. Nutritional assessment was performed on 18, only seven patients were scored undernourished. This was increased to 23 by an independent assessor. Anaemia was associated with malnutrition (n = 17; P = 0.049) and an increased hospital stay (mean 25 days [SD 16] vs mean 12 days [SD 8], P = 0.0125; total 513 vs 144 bed days). CONCLUSIONS: Anaemia and poor nutrition are common and not recognised in vascular patients presenting with critical limb ischaemia. Anaemia is associated with and increased length of hospital stay.

KW - Anaemia

KW - Critical limb ischaemia

KW - Malnutrition

UR - http://www.scopus.com/inward/record.url?scp=77957895707&partnerID=8YFLogxK

U2 - 10.1308/003588410X12664192075738

DO - 10.1308/003588410X12664192075738

M3 - Article

VL - 92

SP - 495

EP - 498

JO - Annals of the Royal College of Surgeons England

JF - Annals of the Royal College of Surgeons England

SN - 0035-8843

IS - 6

ER -