在初级全关节或膝关节关节整形手术之前进行常规的输血前检测是一个昂贵和浪费的常规程序. 系统审查和元分析
Jorge H Nuñez1,2, Jordi Colomina3,4, Francesc Angles5,6
1Department of Orthopedic Surgery, Hospital Universitari Mútua Terrassa, Plaça del Doctor Robert, 5, Terrassa, Barcelona, 08221, Spain. hassan2803med@gmail.com.
Archives of orthopaedic and trauma surgery
|February 28, 2024
概括
对于全部或膝关节关节整形术的常规输血前检测通常是不必要的,其过度订购率为96.3%. 将检测限制在低血红蛋白患者身上可能会节省大量的医疗保健费用.
科学领域:
- 输血医学 输血医学
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
背景情况:
- 在手术过程中进行常规的输血前检测 (血型,查,交叉匹配) 造成了大量的成本和负担输血服务.
- 本研究系统地审查了在全关节整形手术 (THA) 和全膝关节整形手术 (TKA) 之前进行这些测试的必要性.
结论:
- 对所有初级THA/TKA患者进行常规输血前检测似乎是不必要的.
- 建议将输血前测试限制在手术前血红蛋白<12 g/dL的患者身上.
- 有针对性的方法可以为医疗保健系统和输血服务带来显著的成本节约.
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