影响手术内红细胞输血的非临床因素:系统性审查
Tori Lenet1,2, Pauline Berthelot3, Alexa L Grudzinski4
1Department of Surgery, The Ottawa Hospital, Ottawa, ON, Canada.
概括
这一系统性审查确定了影响手术内红细胞 (RBC) 输血的非临床和行为因素. 研究结果强调社会影响和环境背景是红细胞输血实践变化的关键驱动因素.
科学领域:
- 医学实践和政策 医学实践和政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 术内红细胞 (RBC) 输血实践表现出显著的变化.
- 了解影响这些实践的非临床和行为因素对于标准化至关重要.
研究的目的:
- 使用理论领域框架 (TDF) 系统地审查和分类影响手术内红细胞输血的非临床和行为因素.
主要方法:
- 进行了系统的文献搜索,直到2021年8月.
- 包括的研究进行了质量评估,并将非临床因素编码到TDF领域.
- 两个独立的审稿人使用NVivo进行数据编码和主题识别.
主要成果:
- 包括18项研究,其中社会影响,行为调节,环境背景/资源和对后果的信念是最常见的TDF领域.
- 关键因素包括同行/患者的影响,机构文化,病例数量,地理位置和病例开始时间.
- 确定了审计,教育和改善沟通等策略,以优化输血决策.
结论:
- 本综述综合了影响手术内输血决策的非临床和行为因素,并由TDF分类.
- 这些发现可以指导基于证据的干预措施的开发,以减少手术内红细胞输血中的变异性.
更多相关视频
14:28Non-Invasive Monitoring of Microvascular Oxygenation and Reactive Hyperemia using Hybrid, Near-Infrared Diffuse Optical Spectroscopy for Critical Care
Published on: May 10, 2024
1.5K
10:07Organ Ischemia-Reperfusion Injury by Simulating Hemodynamic Changes in Rat Liver Transplant Model
Published on: March 6, 2021
5.1K
相关概念视频
Blood Transfusion
558
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
558
Factors Affecting Erythropoiesis
3.3K
The cardiovascular system regulates the number of erythrocytes in the bloodstream to ensure optimal oxygen transport. It also prevents over-proliferation of these cells, which helps to maintain blood viscosity and flow rate.
Several factors influence the erythrocyte production rate, with tissue oxygen level being among the most critical. Intense exercise or high altitudes can cause tissue hypoxia, which triggers the kidneys to release more erythropoietin (EPO) into the bloodstream.
EPO then...
Several factors influence the erythrocyte production rate, with tissue oxygen level being among the most critical. Intense exercise or high altitudes can cause tissue hypoxia, which triggers the kidneys to release more erythropoietin (EPO) into the bloodstream.
EPO then...
3.3K
Blood Transfusion and Agglutination
10.8K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
10.8K
Bone Marrow Sampling and Transplants
329
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
329
Rh Blood Group
1.4K
The Rhesus (Rh) antigen is crucial in determining blood groups and ensuring compatibility during blood transfusions.
1.4K
