Anemia in the elderly is common and is associated with exposure to blood transfusion and higher perioperative morbidity and mortality. These patients would benefit from early diagnosis and work-up of the cause of preoperative anemia systematically. This can be done in preoperative anemia clinics as part of an overall patient blood management program. Iron-deficiency anemia is amenable to treatment with oral or intravenous iron. Intravenous iron leads to a more rapid hemoglobin response, and is devoid of gastrointestinal side effects. More data are needed to determine if preoperative correction of iron-deficiency anemia reduces the morbidity associated with anemia.
from Clinics in Geriatric Medicine http://bit.ly/2JEHXyR
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