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一种新的评分系统,用于早期预测创伤患者大规模输血需求

Leila Kasraian¹, Nima Naderi², Maryam Hosseini³

¹Blood Transfusion Research Centre, Higher Institute for Research and Education in Transfusion Medicine, Shiraz, Iran.

Internal and emergency medicine

|April 7, 2024

概括

一个新的出血冲击输血预测 (HSTP) 评分准确地预测了创伤患者大量输血的需要. 这种HSTP得分显示出比指导早期血液产品复苏的ABC得分更高的灵敏度和更好的预测值.

科学领域:

紧急医疗紧急医疗
创伤外科手术创伤外科
关键的护理关键的护理

背景情况:

早期的血液产品复苏对于严重的出血性休克至关重要.
对大规模输血 (MT) 的准确预测对于及时干预至关重要.
现有的评分系统,如血液消耗评估 (ABC) 评分有其局限性.

研究的目的:

为了开发和验证一个新的评分系统,出血冲击输血预测 (HSTP) 评分.
为了比较HSTP得分的预测性能与创伤患者MT的ABC得分.

主要方法:

对1029名在埃姆蒂亚兹医院住院的创伤患者 (2017-2021) 的回顾性分析.
患者被分为MT (≥10单位包装细胞/24h) 和非MT组.
后勤回归确定了HSTP得分的独立预测因子,使用人口统计,生命体征和早期实验室数据.

主要成果:

63.3%的患者需要MT.
该HSTP得分包括到达状态,透气血压,绝对淋巴细胞计数,基过量和血糖.
与ABC分数相比,HSTP分数显示出更高的灵敏度 (74.36%与31.03%相比) 和改善的积极 (77.88%与74.15%) 和消极 (49.03%与33.66%) 预测值.

结论:

与ABC分数相比,开发的HSTP分数为创伤患者的大型输血提供了优异的预测性能.
HSTP得分可以帮助医生快速准确地做出输血决定.
建议进行进一步的前性研究,以确认HSTP得分的临床实用性.

关键词:

输血输血输血输血输血输血输血发生出血的冲击是出血.大规模的输血输血.评分系统评分系统创伤是一个创伤.

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