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实施患者血液管理计划:综合性建议和实际策略
Isabel Cristina Céspedes1, Maria Stella Figueiredo2, Nelson Americo Hossne3
1Department of Morphology and Genetics, Discipline of Genetics, Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
Brazilian journal of cardiovascular surgery
|August 2, 2024
概括
患者血液管理 (PBM) 计划减少了输血需求,并发症和成本. 这种基于证据的方法通过管理贫血和血液静止来优化患者的治疗结果和医疗保健经济.
科学领域:
- 输血医学 输血医学
- 医疗保健管理的管理
- 麻醉学 麻醉学
背景情况:
- 输血是一种常见的手术,与感染风险增加,住院时间延长和死亡率增加有关.
- 这些与输血相关的风险在全球范围内对医疗保健成本做出了重大贡献.
研究的目的:
- 总结患者血液管理 (PBM) 策略.
- 介绍一个结构化,基于证据的模型,用于PBM在三级医院的实施.
主要方法:
- PBM是一种三支柱的方法:优化贫血和凝血病治疗,增强外科手术期间的血液静止和血液恢复,改善术后贫血耐受性.
- 本综述综合了当前证据,以支持PBM的有效性.
主要成果:
- PBM有效地减少了对输血的需求.
- 实施PBM导致了输血相关并发症的减少和血液管理效率的提高.
- PBM提高了患者的临床结果,并支持医疗保健系统的经济可持续性.
结论:
- PBM提供了一种全面的,基于证据的战略,以改善患者护理和减少医疗保健支出.
- 拟议的PBM实施模式为三级医院和其他医疗保健机构提供了指导方针.
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