病院に入院しているCOVID-19患者の血液成分利用:専用のCOVID-19センターからの経験
Rahul Chaurasia1, Richa Aggarwal2, Sapna Chopra1
1Department of Transfusion Medicine, AIIMS, New Delhi, India.
Asian journal of transfusion science
|August 21, 2025
まとめ
COVID-19患者における血液成分利用は,主に併発性疾患または重症治療を必要とする患者では低い. 赤血球は最も輸血された成分で,凝固症は輸血を必要としなかった.
科学分野:
- 血液学
- 輸血 医学
- 感染症
背景:
- COVID-19 パンデミックは輸血サービスに影響を及ぼしました.
- COVID-19患者の輸血需要に関する知識は限られていた.
- 輸血の必要性を理解することは,血液の在庫管理に極めて重要です.
研究 の 目的:
- 住院中のCOVID-19患者の血液成分利用を分析する.
- 輸血を受けたCOVID-19患者のアウトカムを評価する.
- パンデミック時の血液在庫管理戦略を参考にする.
主な方法:
- 輸血を受けたCOVID-19患者の遡及分析.
- 患者の人口統計,臨床状態,併発症,検査パラメータを含める.
- 血液バンクと患者の記録から輸血の詳細を収集する.
主要な成果:
- 入院したCOVID-19患者の12.9% (395/3052) が輸血を受けた.
- 赤血球 (赤血球) が最も多く輸血された (11. 4%),次に血小板と新鮮な冷凍プラズマ.
- 併発性疾患や集中治療や呼吸器を必要とする患者は 赤血球を多く必要とした.
結論:
- COVID-19患者の血液成分利用率は一般的に低い.
- 併発性疾患と重症治療の必要性は 輸血の主な要因でした
- 赤血球は主に輸血された成分であり,凝固症は輸血を必要としなかった.
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