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Table 3 Effectiveness of iron supplementation

From: Effectiveness of iron supplementation in the perioperative management of total knee arthroplasty: a systematic review

Author

Year

Journal

Transfusion indication

Transfusion rate_iron

(N, %)

Transfusion rate_control

(N, %)

Hb_iron (g/dL)

Hb_control (g/dL)

Park et al. [26]

2019

J Clin Med

Hb < 8 g/dL throughout the perioperative period

Hemodynamic instability

2 (6.9%)

4 (12.8%)

Pre-OP (12.5 ± 1.3)

POD 1D (10.3 ± 1.4)

POD 5D (9.5 ± 1.2)

POD 30D (12.8 ± 1.3)

Pre-OP (13.4 ± 1.1)

POD 1D (10.7 ± 1.3)

POD 5D (9.9 ± 1.6)

POD 30D (12.6 ± 1.1)

Heschl et al. [30]

2018

Eur J Anaesthesiol

Hb < 7 g/dL for healthy patients

Hb < 8 g/dL for cardiopulmonary restriction patients

40 (12)%

79 (24%)

Pre-OP (12.9 ± 1.7)

POD discharge (10.7 ± 1.3)

Pre-OP (12.2 ± 1.1)

POD discharge (10.6 ± 1.1)

Muñoz et al. [31]

2014

Blood transfusion

Hb < 8 g/dL throughout the perioperative periodHemodynamic instability

`21 (11.5%)

48 (26.4%)

Pre-OP (13.8 ± 1.2)

POD 3D (10.4 ± 1.6)

POD 7D (10.6 ± 1.3)

Pre-OP (13.6 ± 1.2)

POD 3D (9.2 ± 1.5)

POD 7D (9.2 ± 2.2)

Muñoz et al. [32]

2012

Br J Anaesth

Hb < 8 g/dL for healthy patients

Hb < 9 g/dL for active cardiac disease

Low-dose: 20 (62%)

High -dose: 29 (46%)

16 (84%)

Low-dose

Pre-OP (11.8 ± 1.2)

POD 1D (8.7 ± 0.8)

POD 7D (9.6 ± 0.7)

High-dose

Pre-OP (12.4 ± 1.3)

POD 1D (9.1 ± 0.6)

POD 7D (9.8 ± 0.9)

Pre-OP (12.5 ± 1.5)

POD 1D (8.7 ± 1.0)

POD 7D (10.1 ± 0.7)

Na et al. [25]

2011

Transfusion

Hb: 6 ~ 7: 1 pack

5 ~ 6: 2 pack

11 (20.4%)

29 (53.7%)

Pre-OP (12.1 ± 1.3)

Significantly higher Hb level than control group at POD 1D, 2D, 3D, 2 W, 6 W

Pre-OP (12.1 ± 1.2) Significantly lower Hb level than iron supplementation group at POD 1D, 2D, 3D, 2 W, 6 W

Gonzalez-Porras et al. [29]

2009

Transfus Med

Hb < 7 g/dL for healthy patients

Hb < 8 g/dL for poor tolerance of anemia Hb < 9 g/dL for cardiac or respiratory failure

Oral: 29 (20%)

IV: 10 (20.4%)

96 (31.5%)

Oral

Pre-OP (14.3 ± 0.8)

POD discharge (10.7 ± 0.1)

IV

Pre-OP (13.3 ± 0.2)

POD discharge (10.3 ± 0.8)

Pre-OP (13.8 ± 1.4)

POD discharge (10.7 ± 0.8)

Mundy et al. [24]

2005

JBJS

 

9 (18%)

5 (10.2)

Men

Pre-OP (15.1 ± 1.2)

POD 1D (11.0 ± 1.8)

POD 5D (10.8 ± 1.6)

POD 3 weeks (13.0 ± 1.2)

POD 6 weeks (13.8 ± 1.1)

Women

Pre-OP (13.3 ± 0.9)

POD 1D (9.4 ± 1.3)

POD 5D (10.3 ± 1.6)

POD 3 weeks (11.9 ± 1.1)

POD 6 weeks (12.5 ± 0.9)

Men

Pre-OP (14.9 ± 0.9)

POD 1D (11.4 ± 1.2)

POD 5D (10.6 ± 0.9)

POD 3 weeks (12.8 ± 0.8)

POD 6 weeks (13.3 ± 1.4)

Women

Pre-OP (13.4 ± 1.3)

POD 1D (9.5 ± 1.4)

POD 5D (9.8 ± 1.1)

POD 3 weeks (11.7 ± 1.4)

POD 6 weeks (12.0 ± 1.4)

Sutton et al. [27]

2004

JBJS

   

Pre-OP (12.7)

Post-OP (10.4)

At review (12.4)

Pre-OP (12.9)

Post-OP (10.5)

At review (12.1)

Weatherall et al. [28]

2004

ANZ J Surg

   

Pre-OP (14.0 ± 1.3)

POD 10 weeks (13.3 ± 1.3)

Pre-OP (13.7 ± 1.1)

POD 10 weeks (12.8 ± 1.1)

  1. D day, W week, At review: mean 47 ~ 48 day, OP operation, POD post-operation day, Hb hemoglobin