Correlation between Phlebotomy Blood Loss and Hospital- Acquired Anemia among Acute Coronary Syndrome Patients
Elmetwalli, M., Khalil, N., Reshia, F. (2021). Correlation between Phlebotomy Blood Loss and Hospital- Acquired Anemia among Acute Coronary Syndrome Patients. EKB Journal Management System, 8(2), 59-75. doi: 10.21608/mnj.2021.213075
Mahmoud Elmetwalli; Nahla Khalil; Fadia Reshia. "Correlation between Phlebotomy Blood Loss and Hospital- Acquired Anemia among Acute Coronary Syndrome Patients". EKB Journal Management System, 8, 2, 2021, 59-75. doi: 10.21608/mnj.2021.213075
Elmetwalli, M., Khalil, N., Reshia, F. (2021). 'Correlation between Phlebotomy Blood Loss and Hospital- Acquired Anemia among Acute Coronary Syndrome Patients', EKB Journal Management System, 8(2), pp. 59-75. doi: 10.21608/mnj.2021.213075
Elmetwalli, M., Khalil, N., Reshia, F. Correlation between Phlebotomy Blood Loss and Hospital- Acquired Anemia among Acute Coronary Syndrome Patients. EKB Journal Management System, 2021; 8(2): 59-75. doi: 10.21608/mnj.2021.213075

Correlation between Phlebotomy Blood Loss and Hospital- Acquired Anemia among Acute Coronary Syndrome Patients

Mansoura Nursing Journal
Article 5, Volume 8, Issue 2, July 2021, Page 59-75  XML PDF (433.9 K)
Document Type: Original Article
DOI: 10.21608/mnj.2021.213075
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Authors
Mahmoud Elmetwalli1; Nahla Khalil2; Fadia Reshiaorcid 3
1Senior Specialist Cardiac Perfusion, King Abdul-Aziz University Hospital, Jeddah, KSA
2Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Cairo University, Egypt
3Lecturer of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt Department of Nursing, College of Applied Medical Sciences, Jouf University, Sakãkã, KSA
Abstract
Background:hospital-acquired anemia (HAA) is common, with an incidence that
ranges from nearly25% to 74%for the period ofhospitalization. Phlebotomy blood loss is
one ofthe etiologies and predictors of HAA in acute coronary syndrome patients. Aim of
this Study: identify the correlation between Phlebotomy blood loss and HAA among acute
coronary syndrome patients. Material and Method: Descriptive exploratory research
design was used to performthe research on one hundred and eighty patients in Cardiac
Care Units at Mahallah Cardiac Center. Patients' demographic, health-relevant laboratory
investigations data, drug-related data, and estimation of blood loss volume toolswere
utilized in the data collection process. Results: Around two-fifth (37.8%) of the studied
patients have HAA.There was a statistically significant correlation between HAA and
gender & length of hospital stay(X2: 5.229, P: 0.029&X2: 21.832, P:˂0.001 respectively).
On the otherhand, there was no significant correlation between HAA and phlebotomy blood
loss& patient’s age (X2: 1.307, P: 0.520& X2: 1.7763, P: 0.620114 respectively).
Conclusion: Around two fifths (37.8%) of acute coronary syndrome patients had HAA
compared to 62.2% who were non-anemic. There was a statistically significant correlation
between HAA and gender & length of hospital stay. In contrast, there was no significant
correlation between HAA and phlebotomy blood loss and patient’s age among acute
coronary syndrome patients atMahallah Cardiac Center.Recommendations: Future HAA
prevention efforts are recommended to be effective if they include multimodal interventions
that both decrease unnecessary phlebotomy blood loss through puncturing and bleeding.
Keywords
predictors; phlebotomy; hospital-acquired anemia; acute coronary syndrome
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