赤血球輸血のためのより低い対より高いヘモグロビン値を使用した結果
Jeffrey L Carson1, Paul A Carless, Paul C Hébert
1Division of General Internal Medicine, UMDNJ-Robert Wood Johnson Medical School, 125 Paterson St, New Brunswick, NJ 08903, USA. carson@umdnj.edu
JAMA
|January 3, 2013
まとめ
重症の患者の赤血球輸血のヘモグロビン値が7または8g/dLを下回ると,赤血球の使用量が減少します. このアプローチは,死亡率や長期の入院などの有害な結果と関連していません.
科学分野:
- クリティカルケア医療は,重症治療薬です.
- 輸血薬は,輸血薬として用いられる.
- クリニカル・アウトカム・リサーチ研究
背景:
- 貧血は,重症治療および急性ケア施設で一般的であり,しばしば赤血球輸血を必要とします.
- 赤血球輸血を開始するための最適のヘモグロビン値値は,臨床的な議論の対象となっている.
- 以前のガイドラインでは,さまざまな値が提案され,輸血慣行や資源利用に影響を与えていました.
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