在分娩期间重复输血红细胞的风险:全国纵向研究
Anne Brynolf1,2, Anna Sandström1,3, Gustaf Edgren1,4
1Clinical Epidemiology Division, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
BJOG : an international journal of obstetrics and gynaecology
|September 25, 2023
概括
以前接受过红细胞输血的妇女在分娩期间面临需要再次输血的风险明显更高. 这种风险在每次分娩后都会大幅增加,这凸显了输血史在产科护理中的重要性.
科学领域:
- 产科和妇科 产科和妇科
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 母亲红细胞输血是产科护理中的一个关键干预措施.
- 了解输血的复发风险对于患者管理和资源分配至关重要.
研究的目的:
- 为了调查在分娩期间重复发生的母体红细胞输血的风险.
- 确定与随后怀孕中输血复发相关的因素.
主要方法:
- 全国范围的回顾性队列研究使用瑞典医疗出生登记 (2000-2017年).
- 包括从怀孕22周起连续注册生育1-3次的妇女.
- 分析了与输血史,并发症和兄弟姐妹输血史有关的母亲周产期红细胞输血.
主要成果:
- 包括超过825,000名妇女和140万名分娩.
- 以前接受过输血的女性在第二次分娩中复发率为8.7% (相对于没有输血的1.7%).
- 在前两次输血后的第三次分娩中,复发风险增加到15.5% (aOR 11.5),并且有一个输血的妹妹增加了风险 (aOR 1.8).
结论:
- 曾经接受红细胞输血的妇女在随后的分娩中面临更高的输血风险.
- 输血病史是复发性输血需求的重要预测因素.
- 家庭病史 (姐姐的输血) 也可能表明风险较高.
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