{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T02:35:56Z","timestamp":1776134156538,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T00:00:00Z","timestamp":1606262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003122","name":"Ferring","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003122","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006484","name":"Vifor Pharma","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006484","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008322","name":"CSL Behring","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007534","name":"B. Braun Melsungen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007534","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion Medicine"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Approximately one in three patients suffers from preoperative anaemia. Even though haemoglobin is measured before surgery, anaemia management is not implemented in every hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Here, we demonstrate the implementation of an anaemia walk\u2010in clinic at an Orthopedic University Hospital. To improve the diagnosis of iron deficiency (ID), we examined whether reticulocyte haemoglobin (Ret\u2010He) could be a useful additional parameter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>In August 2019, an anaemia walk\u2010in clinic was established. Between September and December 2019, major orthopaedic surgical patients were screened for preoperative anaemia. The primary endpoint was the incidence of preoperative anaemia. Secondary endpoints included Ret\u2010He level, red blood cell (RBC) transfusion rate, in\u2010hospital length of stay and anaemia at hospital discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 104 patients were screened for anaemia. Preoperative anaemia rate was 20.6%. Intravenous iron was supplemented in 23 patients. Transfusion of RBC units per patient (1.7\u2009\u00b1\u20091.2 vs. 0.2\u2009\u00b1\u20090.9; <jats:italic>p<\/jats:italic> = 0.004) and hospital length of stay (13.1\u2009\u00b1\u20094.8\u2009days vs. 10.6\u2009\u00b1\u20095.1\u2009days; <jats:italic>p<\/jats:italic> = 0.068) was increased in anaemic patients compared to non\u2010anaemic patients. Ret\u2010He values were significantly lower in patients with ID anaemia (33.3 pg [28.6\u201340.2 pg]) compared to patients with ID (35.3 pg [28.9\u201338.6 pg]; <jats:italic>p<\/jats:italic> = 0.015) or patients without anaemia (35.4 pg [30.2\u201339.4 pg]; <jats:italic>p<\/jats:italic> = 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preoperative anaemia is common in orthopaedic patients. Our results proved the feasibility of an anaemia walk\u2010in clinic to manage preoperative anaemia. Furthermore, our analysis supports the use of Ret\u2010He as an additional parameter for the diagnosis of ID in surgical patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tme.12740","type":"journal-article","created":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T15:32:20Z","timestamp":1606318340000},"page":"467-474","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Implementation of an anaemia walk\u2010in clinic: Feasibility and preliminary data from the Orthopedic University Hospital"],"prefix":"10.1111","volume":"30","author":[{"given":"Vanessa","family":"Neef","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Intensive Care Medicine and Pain Therapy University Hospital Frankfurt, Goethe University Frankfurt  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Meisenzahl","sequence":"additional","affiliation":[{"name":"Department of 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Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Meybohm","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University Hospital Wuerzburg  Wuerzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Meurer","sequence":"additional","affiliation":[{"name":"Department of Special Orthopedics, Orthopedic University Hospital Friedrichsheim gGmbH  Frankfurt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,25]]},"reference":[{"issue":"3","key":"e_1_2_8_2_1","first-page":"370","article-title":"Pre\u2010operative anaemia: prevalence, consequences and approaches to management","volume":"13","author":"Mu\u00f1oz M","year":"2015","journal-title":"Blood 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