全血治疗与社区一级创伤中心的成分治疗的成本节约
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Updated: Jun 29, 2025
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Microfluidics in Assessing Platelet Function
Published on: November 8, 2024
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Rachel C Murphy1, Tyler W Johnson1, Thomas J Mack1
1Department of Surgery, Spartanburg Regional Healthcare System, Spartanburg, SC, USA.
The American surgeon
|April 9, 2024
概括
在创伤患者中,全血 (WB) 复苏显著提高了生存率,并降低了与仅成分复苏 (CORe) 相比的成本. 使用WB导致产品减少,浪费减少,并大幅节省成本,使其成为首选的策略.
科学领域:
- 创伤复苏 创伤复苏
- 血液性冲击管理 血液性冲击管理
- 血液产品的利用 血液产品的利用
背景情况:
- 仅成分复苏 (CORe) 是标准的,旨在复制全血 (WB).
- 最近的数据表明,WB提供了生存优势.
- 工业银行与水电的成本和浪费影响. 尽管如此,CORE仍然没有得到充分的研究.
研究的目的:
- 为了比较WB与CORe的成本效益和减少废物.
- 评估WB对创伤复苏中患者存活率的影响.
主要方法:
- 对成年创伤患者 (2017-2021) 的回顾性单一中心审查.
- 在大规模输血协议中,接受WB与CORe的患者的比较.
- 单变量和多变量分析在95%的置信度水平下具有统计意义.
主要成果:
- 全血 (WB) 的使用与改善的生存率有关 (OR1.49,P <.05).
- WB导致了显著的减少:制备的产品 (25.8%),输血的数量 (16.5%),产品废弃物 (38.7%) 和MTP激活 (56.3%).
- 在研究期间,每年节省了849,923美元的成本,总共节省了3,399,693美元.
结论:
- 整体血液 (WB) 复苏提供了与CORe相比的生存益处和显著的成本节省.
- 尽管患者数量增加,但WB的利用减少了浪费,提高了死亡率.
- 建议WB作为最佳的复苏策略,用于解血创伤患者.
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