评估一个住院的倡议时间实验室在晚上绘制是否减少贫血
Jonah Zaretsky1, Kevin P Eaton1, Christopher Sonne1
1Department of Medicine, Division of Hospital Medicine, NYU Langone Health, New York, NY, United States.
促进晚间实验室抽取并没有增加住院患者的血红蛋白水平. 虽然晚上抽奖显示血红蛋白水平较高,但干预措施并没有显著改变患者的整体血红蛋白测量.
科学领域:
- 内部医学 内部医学
- 临床病理学 临床病理学
背景情况:
- 医院获得的贫血是住院治疗的常见并发症,可能会增加输血需求和住院时间.
- 已知躺卧姿势会错误地降低血红蛋白测量值.
研究的目的:
- 调查一项促进晚间实验室抽血的倡议是否可以改善住院患者的血红蛋白测量.
- 为了评估白天和晚上增加直立姿势时间,由于后来的血液抽取,是否会影响血红蛋白水平.
主要方法:
- 从2020年3月到2021年1月,在两个医疗单位进行了一项准实验性研究.
- 一个单位在2020年8月实施了晚间例行实验室抽奖计划.
- 使用线性混合效应模型和干预前后差异分析分析了血红蛋白水平.
主要成果:
- 在干预前阶段,晚上抽血与更高的血红蛋白水平 (0.28 g/dL更高) 有关.
- 这项干预措施显著增加了晚间抽血的比例,从10.3%增加到47.9%.
- 然而,差异分析显示,干预和血红蛋白水平 (-0.15 g/dL) 之间没有显著的关联.
结论:
- 晚上实验室抽血独立地与更高的血红蛋白测量有关.
- 尽管成功实施了晚上抽奖计划,但它并没有导致患者的整体血红蛋白水平显著增加.
更多相关视频
05:23Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
Published on: March 14, 2017
11:31Rapid Fractionation and Isolation of Whole Blood Components in Samples Obtained from a Community-based Setting
Published on: November 30, 2015
相关概念视频
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
Peritoneal Dialysis III: Nursing Management
Hemodialysis III: Nursing Management
Venous Thrombosis IV: Nursing Management
Factors Affecting Erythropoiesis
Several factors influence the erythrocyte production rate, with tissue oxygen level being among the most critical. Intense exercise or high altitudes can cause tissue hypoxia, which triggers the kidneys to release more erythropoietin (EPO) into the bloodstream.
EPO then...
