在选择性全关节整形术中输血:患者特定的参数可以预测输血吗?
Nils Meißner1, André Strahl2, Tim Rolvien2
1Department of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany.
Bone & joint open
|July 6, 2024
概括
高龄,低血红蛋白和高BMI预测在全关节整形术 (THA) 后需要输血. 识别这些患者因素可以采取有针对性的预防措施,以减少THA患者的输血率.
科学领域:
- 整形外科手术 整形外科手术
- 输血医学 输血医学
- 患者安全 患者安全
背景情况:
- 在全关节整形术 (THA) 后输血变得越来越少.
- 识别患有输血风险的患者对于实施预防策略至关重要.
研究的目的:
- 确定患者特异性因素,增加需要THA后输血的风险.
- 在选择性THA患者中确定术后输血的预测因子.
主要方法:
- 在2020-2021年期间接受选择性THA治疗的2892名患者的回顾性分析.
- 多重逻辑回归分析以评估年龄,BMI,ASA等级,性别和手术前血红蛋白 (Hb) 的预测值.
主要成果:
- 整体输血率为1.2%.
- 输血患者年龄较大 (73.8岁对68.6岁),更有可能是女性.
- 输血的预测因素包括Hb < 7.6 mmol/l,年龄> 73岁,BMI ≥ 35.4 kg/m2.
结论:
- 手术前的患者参数可以预测THA后需要输血的可能性.
- 建立Hb,年龄和BMI的值可以帮助识别有针对性的干预措施的风险患者.
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