Acil Servise Anemi ile Başvuran Hastaya Yaklaşım
Synopsis
Bu bölümde acil servise anemi semptomları ile başvuran veya bireylerin laboratuvar değerlerinde rastlantısal olarak anemi ile uyumlu bulgular görülen hastaların tanı ve tedavilerine yönelik yaklaşımlardan bahsedilecektir. Anemisi bulunan hastaların klinik prezentasyonu oldukça değişken olduğu için öncelikle şüphe edilmelidir. Her birey kendi içerisinde ayrı olarak değerlendirilmeye alınmalı ve buna yönelik ileri tanı yöntemleri seçilmelidir. Aneminin altta yatan sebebinin akut veya kronik bir zeminde olup olmadığı tedavi yaklaşımını etkileyecektir. Özellikle acil kan transfüzyonu ihtiyacı olan hastalara zamanında uygulanacak tedaviler hayat kurtarıcı niteliktedir.
References
Long B, Koyfman A. Emergency Medicine Evaluation and Management of Anemia. Vol. 36, Emergency Medicine Clinics of North America. W.B. Saunders; 2018. p. 609–30.
Patel K V. Epidemiology of Anemia in Older Adults. Semin Hematol. 2008 Oct;45(4):210–7.
ALGIN A, AKÇA HŞ, EROĞLU SE, ALTUNOK I, et al. Acil Servise Başvuran Derin Anemi Olgularının Maliyet Analizi. Bolu Abant Izzet Baysal Universitesi, Tip Fakultesi, Abant Tip Dergisi. 2020 Aug 31;9(2):24–30.
Turner J, Parsi M, Badireddy M. Anemia. Handbook of Outpatient Medicine: Second Edition [Internet]. 2023 Aug 8 [cited 2023 Sep 19];355–89. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499994/
Karakuş V, Giden A, Ersil Soysal D, et al. Erişkin Hastalarda Anemi Etiyolojisi, Risk Faktörleri ve Nüksün Değerlendirilmesi Evaluation of Anemia in Terms of Etiology, Risk Factors, and Relaps in Adult Patients. Vol. 3, Orjinal Makale/Original Article Medical Journal of Mugla Sitki Kocman University. 2016.
Diagnostic approach to anemia in adults - UpToDate [Internet]. [cited 2023 Sep 19]. Available from: https://www.uptodate.com/contents/diagnostic-approach-to-anemia-in-adults?search=ANEM%C4%B0&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
WHO.
Broadway-Duren JB, Klaassen H. Anemias. Vol. 25, Critical Care Nursing Clinics of North America. 2013. p. 411–26.
Vieth JT, Lane DR. Anemia. Vol. 32, Emergency Medicine Clinics of North America. W.B. Saunders; 2014. p. 613–28.
de Back DZ, Kostova EB, van Kraaij M, et al. Of macrophages and red blood cells; A complex love story. Vol. 5 JAN, Frontiers in Physiology. 2014.
Koury MJ. Abnormal erythropoiesis and the pathophysiology of chronic anemia. Blood Rev. 2014;28(2):49–66.
Bryan LJ, Zakai NA. Why is My Patient Anemic? Vol. 26, Hematology/Oncology Clinics of North America. 2012. p. 205–30.
Hébert PC, Van Der Linden P, Biro G, et al. Physiologic aspects of anemia. Vol. 20, Critical Care Clinics. 2004. p. 187–212.
Milovanovic T, Dragasevic S, Nikolic AN, et al. Anemia as a Problem: GP Approach. Vol. 40, Digestive Diseases. S. Karger AG; 2022. p. 370–5.
Kujovich JL. Evaluation of Anemia. Vol. 43, Obstetrics and Gynecology Clinics of North America. W.B. Saunders; 2016. p. 247–64.
Chernecky C, Berger B. Laboratory Tests and Diagnostic Procedures 6th Edition. Elevier Saundres, St Louis. 2013;1232:284.
Drews RE. Critical issues in hematology: Anemia, thrombocytopenia, coagulopathy, and blood product transfusions in critically ill patients. Vol. 24, Clinics in Chest Medicine. W.B. Saunders; 2003. p. 607–22.
Carson JL, Guyatt G, Heddle NM, et al. Clinical practice guidelines from the AABB: Red blood cell transfusion thresholds and storage. Vol. 316, JAMA - Journal of the American Medical Association. American Medical Association; 2016. p. 2025–35.
Long B, Koyfman A. Red Blood Cell Transfusion in the Emergency Department. Journal of Emergency Medicine. 2016 Aug 1;51(2):120–30.
Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: The PROPPR randomized clinical trial. JAMA - Journal of the American Medical Association. 2015 Feb 3;313(5):471–82.
Holcomb JB, Del Junco DJ, Fox EE, et al. The prospective, observational, multicenter, major trauma transfusion (PROMMTT) study: Comparative effectiveness of a time-varying treatment with competing risks. Vol. 148, JAMA Surgery. 2013. p. 127–36.
Holst LB, Petersen MW, Haase N, et al. Restrictive versus liberal transfusion strategy for red blood cell transfusion: systematic review of randomised trials with meta-analysis and trial sequential analysis. Available from: www.centerwatch.com
Salpeter SR, Buckley JS, Chatterjee S. Impact of more restrictive blood transfusion strategies on clinical outcomes: A meta-analysis and systematic review. American Journal of Medicine. 2014;127(2).
Patel K V. Epidemiology of Anemia in Older Adults. Semin Hematol. 2008 Oct;45(4):210–7.
ALGIN A, AKÇA HŞ, EROĞLU SE, ALTUNOK I, et al. Acil Servise Başvuran Derin Anemi Olgularının Maliyet Analizi. Bolu Abant Izzet Baysal Universitesi, Tip Fakultesi, Abant Tip Dergisi. 2020 Aug 31;9(2):24–30.
Turner J, Parsi M, Badireddy M. Anemia. Handbook of Outpatient Medicine: Second Edition [Internet]. 2023 Aug 8 [cited 2023 Sep 19];355–89. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499994/
Karakuş V, Giden A, Ersil Soysal D, et al. Erişkin Hastalarda Anemi Etiyolojisi, Risk Faktörleri ve Nüksün Değerlendirilmesi Evaluation of Anemia in Terms of Etiology, Risk Factors, and Relaps in Adult Patients. Vol. 3, Orjinal Makale/Original Article Medical Journal of Mugla Sitki Kocman University. 2016.
Diagnostic approach to anemia in adults - UpToDate [Internet]. [cited 2023 Sep 19]. Available from: https://www.uptodate.com/contents/diagnostic-approach-to-anemia-in-adults?search=ANEM%C4%B0&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
WHO.
Broadway-Duren JB, Klaassen H. Anemias. Vol. 25, Critical Care Nursing Clinics of North America. 2013. p. 411–26.
Vieth JT, Lane DR. Anemia. Vol. 32, Emergency Medicine Clinics of North America. W.B. Saunders; 2014. p. 613–28.
de Back DZ, Kostova EB, van Kraaij M, et al. Of macrophages and red blood cells; A complex love story. Vol. 5 JAN, Frontiers in Physiology. 2014.
Koury MJ. Abnormal erythropoiesis and the pathophysiology of chronic anemia. Blood Rev. 2014;28(2):49–66.
Bryan LJ, Zakai NA. Why is My Patient Anemic? Vol. 26, Hematology/Oncology Clinics of North America. 2012. p. 205–30.
Hébert PC, Van Der Linden P, Biro G, et al. Physiologic aspects of anemia. Vol. 20, Critical Care Clinics. 2004. p. 187–212.
Milovanovic T, Dragasevic S, Nikolic AN, et al. Anemia as a Problem: GP Approach. Vol. 40, Digestive Diseases. S. Karger AG; 2022. p. 370–5.
Kujovich JL. Evaluation of Anemia. Vol. 43, Obstetrics and Gynecology Clinics of North America. W.B. Saunders; 2016. p. 247–64.
Chernecky C, Berger B. Laboratory Tests and Diagnostic Procedures 6th Edition. Elevier Saundres, St Louis. 2013;1232:284.
Drews RE. Critical issues in hematology: Anemia, thrombocytopenia, coagulopathy, and blood product transfusions in critically ill patients. Vol. 24, Clinics in Chest Medicine. W.B. Saunders; 2003. p. 607–22.
Carson JL, Guyatt G, Heddle NM, et al. Clinical practice guidelines from the AABB: Red blood cell transfusion thresholds and storage. Vol. 316, JAMA - Journal of the American Medical Association. American Medical Association; 2016. p. 2025–35.
Long B, Koyfman A. Red Blood Cell Transfusion in the Emergency Department. Journal of Emergency Medicine. 2016 Aug 1;51(2):120–30.
Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: The PROPPR randomized clinical trial. JAMA - Journal of the American Medical Association. 2015 Feb 3;313(5):471–82.
Holcomb JB, Del Junco DJ, Fox EE, et al. The prospective, observational, multicenter, major trauma transfusion (PROMMTT) study: Comparative effectiveness of a time-varying treatment with competing risks. Vol. 148, JAMA Surgery. 2013. p. 127–36.
Holst LB, Petersen MW, Haase N, et al. Restrictive versus liberal transfusion strategy for red blood cell transfusion: systematic review of randomised trials with meta-analysis and trial sequential analysis. Available from: www.centerwatch.com
Salpeter SR, Buckley JS, Chatterjee S. Impact of more restrictive blood transfusion strategies on clinical outcomes: A meta-analysis and systematic review. American Journal of Medicine. 2014;127(2).
Volume
Pages
297-306
Published
May 3, 2024
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LicenseHow to Cite
1.
Oğuz S. Acil Servise Anemi ile Başvuran Hastaya Yaklaşım. In: Akman C, Karcıoğlu Ö, editors. Dahili Aciller [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 297-306. Available from: https://omp35.books.akademisyen.net/index.php/akya/catalog/book/3074/chapter/13181
