在创伤质量改善计划注册表中对低标位O全血的调查
Steven G Schauer1,2,3,4, Michael D April4,5, Andrew D Fisher6
1Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Transfusion
|February 14, 2024
概括
从2020-2021年开始,在民用创伤中心,低标位O全血 (LTOWB) 输血增加. 然而,LTOWB在儿科患者中的使用尽管可用,但仍未得到充分利用.
科学领域:
- 创伤护理 创伤护理
- 输血医学 输血医学
- 紧急医疗 紧急医疗
背景情况:
- 低标位O全血 (LTOWB) 的应用有所增长,但其在民用创伤中心的应用程度尚未得到充分记录.
- 了解当前的LTOWB利用对于优化创伤复苏策略至关重要.
研究的目的:
- 量化2020年至2021年期间使用低标位O全血 (LTOWB) 的民用创伤中心的数量.
- 识别不同创伤中心水平和患者人口统计数据中LTOWB使用趋势.
主要方法:
- 来自美国外科医生学院创伤质量改善计划 (TQIP) 数据库的2020-2021年非识别患者数据的分析.
- 使用独特的设施密钥来确定在研究期间报告LTOWB使用的中心数量.
主要成果:
- 2020年至2021年期间,共有16603名患者接受了LTOWB治疗.
- 使用LTOWB的设施数量从2020年的287个 (37%) 增加到2021年的302个 (38%).
- 虽然LTOWB的使用在成人1级和2级创伤中心上升,但在3级设施和儿科创伤中心下降.
结论:
- 在2020年至2021年期间,观察到输血LTOWB的设施数量增加.
- 在可用的创伤中心,LTOWB在儿科患者中未得到充分利用.
- 研究结果强调了扩大LTOWB在创伤中的使用机会,特别是在儿科患者群体中.
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