Guideline Adherence for Preoperative Anemia Management in a PAC

NCT05447442 | Recruiting

• 1 other identifier: 273/2565
• Study Type: observational
• Target: 93
• Locations: 1 country
• Sites: 1

Brief Summary

Anemia in surgical patients is a common seriously problem; around 40 % of patients presenting for major surgery are anemic problem. Patients with major surgery have significantly higher rates of acute blood loss. Whereas , patients with pre-operative anemia prone to be transfused blood component in pre-operative or intraoperative and postoperative periods that associated with worse outcomes , prolonged hospital stays , increased risk of morbidity and mortality . Therefore, patients undergoing major surgery should be optimization for pre-operative anemia. In November 2021, Siriraj Preanesthesia Assessment Center (SIPAC) has developed and implemented a preoperative anemia management guideline which is one pillar of perioperative patient blood management. The objective of this guideline is to optimize red blood cell mass before patients having operation. The investigators are realize the important of pre-operative anemia of patients who undergoing elective surgery. The investigators will aim to evaluate adherence to the preoperative anemia management guideline protocol and perioperative outcomes and use the data of this study to setting guidelines for preoperative anemia evaluation and management in SIPAC of department of anesthesiology in Siriraj hospital for improving workflow and optimization before elective surgery, supporting to a reduction in blood transfusion, hospital stay, morbidity and health care costs of public health of Thailand.

Conditions

Guideline Adherence; Anemia

Outcome Measures

Primary Outcomes (1)

• Protocol adherence

  The trial monitors adherence to the protocol (yes/no).

  Through study completion, an average of 1 month

Secondary Outcomes (1)

• Perioperative transfusion

  1 month after surgery

Study Arms (1)

Study group

Patients with anemia will be checked whether they would be assessed by protocol.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who attend a preanesthesia clinic and have anemia.

You may qualify if:

• Anemia defined as
• Patients, with chronic kidney disease (CKD) stage 3+ or hematologic disease, have a hemoglobin level less than 10 g/dL; or
• Patients other than No. 1 and have hemoglobin level less than 13 g/dL in men or a hemoglobin level less than 12 g/dL in women.

You may not qualify if:

• none

Sponsors & Collaborators

• Siriraj Hospital: lead

Study Sites (1)

Siriraj hospital

Bangkok, Bangkok, 10700, Thailand

RECRUITING

MeSH Terms

Conditions

Anemia

Condition Hierarchy (Ancestors)

Hematologic Diseases; Hemic and Lymphatic Diseases

Study Officials

• Mingkwan Wongyingsinn

  Siriraj Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mingkwan Wongyingsinn, MD

CONTACT

024197995; mingkwan.won@mahidol.ac.th

Mingkwan Wongyingsinn

CONTACT

024197995; mingkwan.won@mahidol.ac.th

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 18, 2022
• First Posted: July 7, 2022
• Study Start: October 1, 2022
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: March 6, 2026

Record last verified: 2025-06

Locations

TH (1)