在手术室检测血红蛋白的临床检测设备的准确性:元分析
Hilalion San Ahn1, Tori Lenet1,2, Richard W D Gilbert1
1Department of Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
BJS open
|January 24, 2024
概括
与中央实验室测试相比,用于手术内血红蛋白测量的治疗点测试 (POCT) 显示出显著的变化. 这些POCT结果不应与指导输血的实验室值互换使用.
科学领域:
- 麻醉学和外科手术期间的医学.
- 临床病理学 临床病理学
- 医疗器械和技术 医疗器械和技术
背景情况:
- 血红蛋白治疗点检测 (POCT) 越来越多地用于手术内输血指导.
- 与手术期间中央实验室血红蛋白测试相比,POCT的准确性仍然不清楚.
- 这项研究系统地审查和元分析了手术内POCT血红蛋白精度的方法比较研究.
结论:
- 所有分析的手术内血红素的POCT均已汇总平均差异LOA超过±4g/dL的允许限值.
- 来自POCT的手术内血红蛋白值不能与中央实验室的结果互换.
- 建议在使用POCT血红蛋白指导手术内输血时谨慎使用.
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