Diagnostic Blood Loss From Phlebotomy and Hospital-Acquired Anemia During Acute Myocardial Infarction

Authors:
  • KRKimberly J. Reid
    Kimberly J. Reid
  • KAKaren P. Alexander
    Karen P. Alexander
  • FMFrederick A. Masoudi
    Frederick A. Masoudi
  • SLSue-Min Lai
    Sue-Min Lai
  • PCPaul S. Chan
    Paul S. Chan
  • RBRichard G. Bach
    Richard G. Bach
  • TWTracy Y. Wang
    Tracy Y. Wang
  • JSJohn A. Spertus
    John A. Spertus
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Abstract
Both chronic anemia, present at the time of admission to the hospital, and hospital-acquired anemia (HAA), which develops during hospitalization in patients with a normal hemoglobin level at admission, are associated with greater mortality and worse health status in patients with acute myocardial infarction (AMI).1-5 However, in contrast to chronic anemia, HAA could potentially be prevented by implementing strategies to reduce blood loss in high-risk patients. Although in-hospital bleeding is a risk factor for HAA and is already recognized as an important target for quality improvement, HAA seems to be multifactorial and commonly develops in the absence of bleeding.4,6

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