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开发和验证用于预测血捐献后血管反应风险的诺米克图
Peizhe Zhao1,2,3, Demei Dong4, Rong Dong5
1Department of Blood Transfusion, Taiyuan Blood Center, Taiyuan, Shanxi Province, People's Republic of China.
Journal of clinical apheresis
|July 19, 2023
概括
血捐献后的血管道反应 (VVRs) 通过新模型预测. 这个工具可以识别高风险的捐赠者,提高血捐赠的安全性,并鼓励未来的捐赠.
科学领域:
- 输血医学 输血医学
- 临床血液学 临床血液学
- 公共卫生 公共卫生
背景情况:
- 血管道反应 (VVRs) 是血捐赠中常见的不良事件.
- 视频回血器可以降低捐赠者返回率,影响血液供应.
- 识别风险因素对于捐赠者的安全和保留至关重要.
研究的目的:
- 调查与VVRs血捐赠后相关的因素.
- 开发一种预测性血红图,用于识别有风险的血捐赠者.
- 提高血捐献过程的安全性和效率.
主要方法:
- 分析了2019年7月至2020年6月期间的120448例血捐赠.
- 使用后勤回归识别VVR的独立风险因素.
- 预测名ogram模型的构建和验证.
主要成果:
- VVR的发生率为0.66% (737/120,448次捐赠).
- 独立的风险因素包括性别,季节,捐赠者身份,体重,脉,捐赠时间和周期.
- 预测模型表现出高准确度 (C指数=0.916) 和良好的校准.
结论:
- 开发了一种实际的诺莫格拉姆模型,用于预测血捐赠后的VVR.
- 该模型有效地识别了对VVR风险较高的个体.
- 这种工具可以提高捐赠者的安全性,并可能增加捐赠频率.
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