Navigation Links
Abnormality in the Red Blood Count Cell Poses High Risks

"This is the first study to show that even mildly abnormal levels (of red blood cells) could be detrimental in elderly men undergoing major surgery," said Dr. Wen-Chih Wu of the Providence Veterans Affairs Medical Center and Brown University in Rhode Island.

A new study by researchers at the Providence Veterans Affairs Medical Center and The Warren Alpert Medical School of Brown University shows that older men, above the age of 65, whose red blood cell counts are even slightly out of the normal range are at higher risk of death and heart problems after major surgery.

Most surgical patients get a routine blood screening called a hematocrit to measure the number of red blood cells before they are operated upon. A reading that is too low points to anemia, while too high a reading is a sign of a condition called polycythemia. Elderly patients are more prone to both conditions. The elderly are more likely to have health problems that affect red blood cells, such as kidney disease, gastrointestinal bleeding, malnutrition or cancer. The elderly are also more likely to have heart disease, which makes them more vulnerable to the stresses of surgery and puts them at greater risk of post-operative heart attacks and other cardiac complications.

The new study found that the optimal hematocrit (a measure of red blood cells) for men over 65 was between 39 percent and 53.9 percent, and for every point above or below that normal range, a person's risk of dying within 30 days of non-heart-related surgery increased by 1.6 percent. That means someone with a preoperative hematocrit of 30 had a 14.4 percent higher risk of death than someone with a normal hematocrit level.

Even though hematocrit tests are nearly universal before elective surgery, doctors don't have a reliable yardstick for gauging a 'normal' or a mildly 'abnormal' result, said Dr.Wu. "One of my biggest hopes for this research is that it eventually helps doctors better i nterpret hematocrit test results to improve patient outcomes."

Wu and his colleagues set out to evaluate the prevalence of pre-operative anemia and polycythemia and their effects on 30-day post-operative outcomes for veterans. Wu and his team mined data from the Veterans Affairs National Surgical Quality Improvement Program to conduct their work, looking at medical data of 310,311 veterans aged 65 or older who underwent major non-cardiac surgery. These surgeries, which ranged from total knee replacements to prostate surgeries to hernia repairs, took place between 1997 and 2004 in 132 Veterans' Affairs Medical Centers across the United States.

Researchers used patients' pre-operative hematocrit screening results, and a review of the scientific literature on hematocrit values, to put patients into one of three categories: anemic (hematocrit values of less than 39 percent), normal (hematocrit values of between 39 and 54 percent) and polycythemic (hematocrit values of 54 percent or higher). Then, from each point deviation from normal, researchers estimated increases in the risk of death or cardiac events -- mainly heart attack and cardiac arrest -- 30 days after surgery.

The result was a 1.6 per cent increase in the risk of death for every percentage point of deviation from the normal range for hematocrit levels.

Such an observational study does not reveal any cause-and-effect relationships between low or high hemocrit values and risk of side-effects after surgery, the researchers noted.


'"/>




Related medicine news :

1. Missing Molecule Has Important Role in a Developmental Brain Abnormality
2. Recommendations for Treatment of Blood Pressue
3. Blood Cells Capable of Regenerating Liver
4. Blood clots likely in long travel
5. Hemochromatosis Patients Blood is Safe
6. Blood transfusions beneficial after heart attacks
7. Blood Pressure Drug may slow wasting in burn victims
8. Levels Of Blood Proteins May Help Heart Disease Care
9. Blood test may identify ovarian cancer
10. A Blood test for suicide risk?
11. Blood Pressure Drugs maintain muscle strength
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the Christian ... On The Brink” is the creation of published author, William Nowers. Captain Nowers ... a WWII veteran, he spent thirty years in the Navy. Following his career ...
(Date:10/12/2017)... ... 12, 2017 , ... The company has developed a suite ... regulatory authorities worldwide. From Children’s to Adults 50+, every formula has been developed ... , These products are also: Gluten Free, Non-GMO, Vegan, Soy Free, Non-Dairy*, ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... that we intend to develop to enable prevention of a major side effect ... hearing loss, especially in pediatric patients. For cisplatin, hearing loss is FDA listed ...
(Date:10/12/2017)... Wesley Chapel, FL (PRWEB) , ... October 12, 2017 , ... ... Chapel is holding a treadmill relay – Miles by Moonlight to raise money for ... by donating $300 or more. , Teams will work together to keep their ...
(Date:10/12/2017)... ... October 12, 2017 , ... Vohra Chief Medical Officer Dr. ... colleagues, skilled nursing facility medical directors and other clinicians at various events in ... , "At many of these conferences we get to educate other physicians, facility ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... 2017 Diplomat Pharmacy, Inc. (NYSE: ... Consulting, LLC , and named its founder as Diplomat,s ... Tennessee , will operate under Diplomat ... service offerings for health care partners to include IT ... "In an interoperable world, technology delivers comprehensive ...
(Date:10/2/2017)... Halo Labs announces the European launch of their new low volume, ... 2017 in Cambridge, U.K on October 4th. ... samples with unprecedented speed and sensitivity while using far less sample ... ... system ...
(Date:9/28/2017)... Cohen Veterans Bioscience and Early Signal Foundation ... and home sensors for real-time monitoring of patients with ... nonprofit organization focused on disruptive health solutions for rare ... system to record and integrate behavioral, cognitive, physiological and ... ...
Breaking Medicine Technology: