الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Hospital-acquired anemia is common in patients with approximately 25% to 74% during hospitalization. Phlebotomy blood loss, blood loss associated with invasive procedures, and anemia of inflammation are considered the etiologies and predictors of hospital-acquired anemia in acute coronary syndrome patients. Therefore, this study aims to identify the predictors and consequences of hospital-acquired anemia among acute coronary syndrome patients. Material and Method: Descriptive exploratory research design was used on one hundred and eighty patients in Cardiac Care Units at Mahallah Cardiac Center. Two tools were used to collect data: Tool (I): Indicators of nosocomial anemia. Tool (II): Estimation of blood loss volume. Results: Around two-fifths (37.8%) of the studied patients had hospital-acquired anemia. There was a statistically significant correlation between hospital-acquired anemia and the total blood loss due to invasive procedures and hematoma (X2: 11.118, P: 0.004; X2: 4.000, P: 0.046 respectively). Whereas, there was no significant correlation between hospital-acquired anemia and phlebotomy blood loss (X2: 1.307, P: 0.520). Conclusion: Total blood loss due to invasive procedures, hematoma, length of hospital stay, and use of thrombolytic, antiplatelet, nephrotoxic are predictors that may contribute to the occurrence of hospital-acquired anemia among acute coronary syndrome patients. Recommendations: Setting a policy that enhances the limitation of phlebotomy and blood loss associated with invasive procedures. Further research, studying the consequences of hospital-acquired anemia such as morbidity and mortality after discharge. |