在COVID-19大流行初期输血实践的范式转变:单一中心的回顾性研究
Sumukh Arun Kumar1, Sushmita Prabhu1, Ankushi Sanghvi1
1Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA 01608, United States.
World journal of virology
|July 10, 2024
概括
在COVID-19大流行期间,遵守严格的输血做法显著下降. 这项研究强调了在公共卫生危机期间保持最佳血液产品管理的挑战.
科学领域:
- 血液学 血液学 血液学
- 公共卫生 公共卫生
- 医院管理局 医院管理局
背景情况:
- 在美国,COVID-19大流行导致严重的国家血液短缺.
- 在疫情期间调查血液制品采购和利用的障碍.
研究的目的:
- 为了比较在COVID-19大流行之前和期间遵守限制性输血实践.
主要方法:
- 住院患者的回顾性横截面研究.
- 红细胞 (RBC) 输血模式的比较和遵守限制性标准.
- 统计分析包括千平方,未配对的t测试和曼·惠特尼U测试.
主要成果:
- 研究了208名患者 (108名COVID时代,100名COVID前时代).
- 呼吸短促和胃肠道出血是两组患者入院的主要原因.
- 在COVID时代,ICU中的红细胞输血较高 (38.9%对22%).
- 在COVID时代,限制性输血标准的满足较少 (62%对79%).
结论:
- 与COVID前时代相比,在COVID时代遵守限制性输血实践的程度较低.
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