在沙特阿拉伯的新生儿科医生中进行血小板输血实践:全国横截面调查
Hassan Al-Shehri1, Afnan M Almohandes2, Dalia Alanazi2
1Department of Pediatrics, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
Medicine
|January 5, 2024
概括
沙特阿拉伯的新生儿血小板输血实践显示出显著的差异. 大多数新生儿科医生在一个小时内输血血小板,但缺乏明确的协议和指导方针,需要标准化的做法.
科学领域:
- 新生儿医学 新生儿医学
- 血液学 血液学 血液学
- 临床实践 临床实践
背景情况:
- 新生儿血小板缺血是一种常见的并发症,特别是在体重极低的新生儿中.
- 血小板 (PLT) 输血是新生儿血小板缺血的主要治疗方法.
- 目前的输血实践表现出相当大的变化,影响患者的结果.
研究的目的:
- 为了调查沙特阿拉伯当前的新生儿血小板输血实践.
- 在新生儿科医生中识别输血协议和指导方针的变化.
- 强调在新生儿护理中需要标准化输血指导方针.
主要方法:
- 从2022年10月到12月进行了一项跨部门在线调查.
- 基于广泛的文献综述,制定了一个问卷.
- 来自各个新生儿重症监护病房的81名新生儿科医生参加了会议.
主要成果:
- 大多数 (85.2%) 的参与者在NICU.Level 3进行实践.
- 60.0%的人在1小时内输血血小板,53%的人每次输血使用10毫升/公斤.
- 只有48.0%的人写有PLT输血指南,81.1%的人包括输血门.
结论:
- 由于缺乏明确的协议,沙特阿拉伯新生儿血小板输血实践存在显著差异.
- 需要严格的新生儿PLT输血标准和进一步的临床研究.
- 标准化的指导方针对于优化新生儿血小板输血的安全性和有效性至关重要.
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