2020, Number 5
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Med Int Mex 2020; 36 (5)
In-hospital anemias secondary to taking blood samples
Santiago-Mardesiche KI, Silva-Tovar AE, Frontana-Vázquez G, Villarreal-Ríos E, Padilla-Reyes FM
Language: Spanish
References: 23
Page: 615-620
PDF size: 205.48 Kb.
ABSTRACT
Background: Hospitalized patients are constantly subjected to blood withdrawals
for laboratory test in short time intervals throughout their stay. The continuous
withdraw of blood can cause a decrease in hemoglobin and hematocrit levels,
increasing mortality rates, complications, request of blood transfusions and their
stay in the hospital.
Objective: To determine if blood sampling is a risk factor of anemia in hospitalized
patients in Internal Medicine.
Material and Method: A cohort study was done with all patients of legal aged
admitted for the first time in the Internal Medicine Services of the Regional General
Hospital IMSS no. 1. Those with active bleeding, underwent major surgery, in dialysis,
patients with cerebral vascular event, previous diagnosis of anemia, transfusions and
who were under treatment with chemotherapy were excluded.
Results: It was observed a decrease in hemoglobin of 1.98 g/dL, the average days
of hospitalization was of 10.12, the average of phlebotomies was 14.98, obtaining
an average of 1.67 phlebotomies per day, the prevalence of anemia was of 48.2%.
Conclusions: Blood sampling is a risk factor of anemia in hospitalized patients in
the area of internal medicine.
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