心脏外科手术患者的术后贫血:一个叙事审查
Michelle M Li1,2, Sarah Miles2, Jeannie Callum3,4
1Institute of Medical Science, University of Toronto, Toronto, ON, Canada.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|November 28, 2023
概括
手术后贫血在心脏手术后很常见,并且与更糟糕的结果有关. 需要更多的研究来管理这种贫血,以改善患者的康复.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 关键护理医学 关键护理医学
背景情况:
- 贫血是一种减少氧气输送的疾病,影响到90%的心脏手术后的患者.
- 在这个人群中,术后贫血的预后意义仍未得到充分研究.
研究的目的:
- 审查心脏外科手术中术后贫血的文献.
- 专注于发病率,风险因素和预后价值.
- 为了探索贫血作为潜在的治疗目标.
主要方法:
- 在系统评论的MEDLINE,Embase和Cochrane数据库中进行了有针对性的文献搜索.
- 搜索术语包括"术后贫血"和"心脏手术"直到2022年9月.
主要成果:
- 术后贫血的发生率因不同的标准而有很大差异 (29%-94%).
- 手术后贫血是导致急性损伤,中风和死亡等不良结果的独立危险因素.
结论:
- 在心脏手术患者中,术后贫血很普遍,并且具有预后意义.
- 需要进一步的数据来确定手术后贫血的可行性和有效性.
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