Efficiency of Patient Blood Management Protocol in Gynecological Surgery Department (PERIOPESGYNECO)
NCT Number: NCT06493435
Acronym: PERIOPESGYNECO
Status: NOT_YET_RECRUITING
Study Type: OBSERVATIONAL
Conditions: Anemia
Sponsor: University Hospital, Angers
Sex: FEMALE
Age: ADULT, OLDER_ADULT
Enrollment: 160
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-06-30
Completion Date: 2026-12-31

Summary:
Perioperative anemia is associated with higher risk of red blood cell transfusion, higher rates of morbimortality and lower quality of postoperative recovery. In a context of focussing on higher quality management and improved recovery after surgery, development of Patient Blood management has increased. This study aim to assess PBM protocole in a postoperative context of gynaecological surgery, by comparing indicators at two time periods: 2 and 8 months after establishment of PBM protocol.

Primary Outcome Measures: rate of immediate pre operative anemia, preoperative Hb\<13g/dL, at 2 and 8 months after establishment of PBM protocol
Secondary Outcome Measures: rate of preoperative anemia that need to be treated diagnosed during anesthetic consultation, Hb\<13 g/dL, at 2 and 8 months after establishment of PBM protocol|rate of Hemoglobin dosage available during anesthetic evaluation, number and rate of blood analyses, at 2 and 8 months after establishment of PBM protocol|rate of preoperative iron deficiency that need to be treated diagnosed during anesthetic consultation, blood ferritin level \<100 ng/mL, at 2 and 8 months after establishment of PBM protocol|adequacy between diagnosed iron deficiency anemia and treatment, rate of iron prescription, at 2 and 8 months after establishment of PBM protocol|effectiveness of iron treatment, rate of persistent pre operative anemia after iron treatment, at 2 and 8 months after establishment of PBM protocol|immediat effect of surgery on anemia incidence, rate of post operative anemia (Hb\<12g/dL)/ rate of post operative iron treatment, at 2 and 8 months after establishment of PBM protocol|delayed effect of surgery on anemia incidence, rate of delayed post operative anemia or iron deficiency, at 2 and 8 months after establishment of PBM protocol|early post operative recovery, FQoR 15 on the day of hospital dischage, at 2 and 8 months after establishment of PBM protocol|delayed post operative recovery, FQoR 15 at the post operative surgical visit, at 2 and 8 months after establishment of PBM protocol|adhesion to PBM protocol (rate of anemia), comparison of rate of anemia screening, at 2 and 8 months after establishment of PBM protocol|efficiency of PBM protocol (iron treatment rate), comparison of iron treatment rate, at 2 and 8 months after establishment of PBM protocol|adhesion to PBM protocol (missing datas), comparison of the rate of missing datas, at 2 and 8 months after establishment of PBM protocol|efficiency of PBM protocol (preoperative anemia rate), comparison of the rate of preoperative anemia, at 2 and 8 months after establishment of PBM protocol|efficiency of PBM protocol (perioperative transfusion rate), comparison of the rate of peri opeartive transfusion, at 2 and 8 months after establishment of PBM protocol|efficiency of PBM protocol (mean of FQoR-15), comparison of the mean of FQoR-15, at 2 and 8 months after establishment of PBM protocol|efficiency of PBM protocol (mean of FQoR-15 between patients with or without preoperative anemia), comparison of FQoR-15 means between patients with or without preoperative anemia, at 2 and 8 months after establishment of PBM protocol|efficiency of PBM protocol (rate of screening anemia and the rate of preoperative anemia ), comparison of the rate of screening anemia and the rate of preoperative anemia, at 2 and 8 months after establishment of PBM protocol|efficiency of PBM protocol (Hb level between anesthetic evaluation and pre anesthetic visit), comparison of Hb level between anesthetic evaluation and pre anesthetic visit (paired T test), at 2 and 8 months after establishment of PBM protocol|efficiency of PBM protocol (difference of hemoglobin level after iron treatment), mean difference of hemoglobin level after iron treatment, at 2 and 8 months after establishment of PBM protocol