Skip to main content
. 2020 Jul 28;28(3):560–569. doi: 10.5606/tgkdc.dergisi.2020.19701

Table 2. University Hospital of Zurich Guideline-Preoperative treatment of anemia.

Hemoglobin Iron parameters Treatment
  Kidney function  
  (Low grade) infection  
Hemoglobin <130 g/L “ID Anemia”* Ferritin <100 µg/L or TSAT <20% 20 mg/kg BW iron carboxymaltose (IV) 30 min + 1 mg vitamin B12 (sc) + 5 mg folic acid (po)
  CCL ≥50 mL/min  
Hemoglobin <130 g/L “Renal anemia” Ferritin ≥100 µg/L and TSAT ≥20% Epoetin alpha 600 U/kg BW
  CCL <50 mL/min 20 mg/kg BW iron carboxymaltose (IV) 30 min + 1 mg vitamin B12 (sc) + 5 mg folic acid (po)
Hemoglobin <130 g/L “Anemia of chronic disease” Ferritin ≥100 µg/L and TSAT ≥20% Epoetin alpha 600 U/kg BW
  CRP >5 mg/L 20 mg/kg BW iron carboxymaltose (IV) 30 min + 1 mg vitamin B12 (sc) + 5 mg folic acid (po)
Hemoglobin ≥130 g/L “Isolated ID” Ferritin <100 µg/L or TSAT <20% 20 mg/kg BW iron carboxymaltose (IV) 30 min
*Surgery in <5 days additionally Epoetin alpha 600 U/kg BW; TSAT: Transferrin saturation; CCL: Creatinine clearance; IV: Intravenous; po: Per oral;
sc: Subcutaneous; BW: Body weight; CRP: C-reactive protein; ID: Iron deficiency.