现在是单单元等离子体的死亡钟吗?
Richard R Gammon1, Moises Auron2,3, Deborah Tolich4
1OneBlood, Scientific, Medical, Technical Direction, Orlando, Florida, USA.
Vox sanguinis
|June 10, 2024
概括
超过17%的成年患者接受了单单位血输血,这通常是次治疗剂量. 不经常输血的医院更有可能进行这些低剂量单单元输血.
科学领域:
- 输血医学 输血医学
- 血液学 血液学 血液学
- 临床病理学 临床病理学
背景情况:
- 血输血剂量指南建议10-20毫升/千克,相当于成人的3-4单位.
- 单个单位的血输血往往是次治疗性的,可能无法达到预期的临床结果.
研究的目的:
- 为了确定一个大型医院系统中单个单位血输血的患病率.
- 为了确定与单个单位血输血的管理相关的因素.
主要方法:
- 对接受血输血的成年患者进行了回顾性观察性研究.
- 从2018年1月至2019年12月期间从12家医院系统收集的数据.
主要成果:
- 在988名患者中,有17.1%的患者接受了单单位血输血.
- 单个单位输血集中在特定的医院和服务线.
- 血输血量较低的医院更有可能管理单个单位.
结论:
- 超过六分之一的成年患者接受了单单位血输血,这表明潜在的低剂量问题.
- 血输血实践在医院和系统内的服务线上有很大差异.
- 对输血实践的进一步调查是有必要的,以确保适当的剂量和患者护理.
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