Is ferritin estimation and optimisation important in cerebral palsy children

Published Date: 18th February 2019

Publication Authors: Dhotare S, Mohan R

Conclusion

We conclude that preoperative haemoglobin estimation alone is not enough in cerebral palsy patients who require single-event multilevel surgery especially those with high Gross Motor Function Classification System (GMFCS) score. This study showed that these patients had low ferritin reserves and many of these patients with low ferritin reserves can have normal haemoglobin. Hence, we recommend ferritin estimation along with haemoglobin in the preoperative assessment, which will help to optimise the level of ferritin with iron treatment well in advance of the operation thereby reducing the risk of postoperative anaemia. Accordingly, we made changes in our practice, and we are looking forward to publishing the outcome of the ferritin optimisation with iron treatment as a follow-up study.

 

Mohan, R; Unnikrishnan, PN; George, H; Bass, A; Dhotare, SVR; Sampath, JS. (2019). Is ferritin estimation and optimisation important in cerebral palsy children undergoing single event multilevel surgery?. Journal of Orthopaedics. 16 (1), 1-4

 

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