[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 792
Citations 0
September 2016

Preoperative Anemia and Neonates

Author Affiliations
  • 1Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland
  • 2Division of Neonatology, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia
  • 3Children’s Healthcare of Atlanta, Atlanta, Georgia
  • 4Pathology and Pediatrics, Emory University School of Medicine, Atlanta, Georgia
  • 5Transfusion, Tissue, and Apheresis Service, Children’s Healthcare of Atlanta, Atlanta, Georgia
JAMA Pediatr. 2016;170(9):835-836. doi:10.1001/jamapediatrics.2016.1354

In this issue, Goobie et al1 describe an independent association of preoperative anemia, defined as a hematocrit level less than 40%, with higher in-hospital mortality in neonates. Preoperative anemia was 1 of several independent risk factors associated with postoperative mortality; the others were American Society of Anesthesiologists class 3 to 5, body weight less than 2 kg, preoperative mechanical ventilation, and preoperative inotropic support. With almost two-thirds of the procedures being classified as emergent, the factors associated with mortality, with the exception of anemia, are largely not modifiable prior to surgery. The question then remains: if the anemia was corrected prior to surgery, would the outcome be improved with respect to the mortality rate?

First Page Preview View Large
First page PDF preview
First page PDF preview