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. 2022 Jan 10;11(2):320. doi: 10.3390/jcm11020320

Table 1.

Causes for anemia in critically ill patients.

Pathophysiological Causes for Anemia Iatrogenic Causes for Anemia
Inflammation leads to:
  • -

    Impairment of erythropoiesis

  • -

    Reduction of RBC maturation and life span

Frequency and volume of phlebotomies
Endogenous kidney dysfunction with low EPO concentration Hemolysis due to ECMO-therapy and CRRT
Altered iron metabolism Blood volume discarded
Nutritional deficiency of iron, folate, vitamin B12 Invasive procedures
Fluid shift due to sepsis Coagulation disorders due to pharmacotherapy
Major hemorrhages Impaired/insufficient enteral feeding
Occult bleedings Fluid resuscitation in septic patients
Coagulation disorders due to thrombocytopenia and liver synthesis disorders Surgical interventions

EPO = Erythropoietin. CRRT = continuous renal replacement therapy. ECMO = extracorporeal membrane oxygenation.