在民用医院实施全血输血协议的障碍和挑战:系统审查和元分析
Thamer Nouh1, Mishary Shalhoub2, Ahmed Alburakan1
1Trauma and Acute Care Department, King Saud University, Riyadh 12271, Saudi Arabia.
Journal of clinical medicine
|August 29, 2024
概括
全血输血 (WBT) 有效地恢复创伤患者的生命. 早期WBT推用于成年平民创伤,解决后勤挑战和关键护理需求.
科学领域:
- 紧急医疗 紧急医疗
- 输血医学 输血医学
- 创伤外科 手术 创伤外科
背景情况:
- 全血中含有血,红细胞和血小板.
- 民用医院面临着对全血输血 (WBT) 协议的障碍.
- 本研究审查了WBT在民用创伤护理中的实施.
研究的目的:
- 确定在民用医院建立WBT协议的障碍.
- 评估WBT在创伤患者中的有效性.
- 为民间创伤场所实施WBT提供建议.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在PubMed,谷歌学者,科学网,科学直播和ProQuest进行了搜索.
- 包括接受或需要WBT的创伤患者的研究;使用纽卡斯尔-太华尺度评估偏差风险.
主要成果:
- 310项研究中有11项符合纳入标准.
- 死亡率:6小时 (12.15%),24小时 (14.08%),28-30天 (22.89%),住院 (18.72%). 死亡率为6小时 (12.15%),24小时 (14.08%),28-30天 (22.89%),住院 (18.72%).
- 死亡率的相对风险为0.176 (95% CI [0.114,0.238]). 死亡率的相对风险为0.176 (95% CI [0.114,0.238]). 死亡率的相对风险是0.176 (95% CI [0.114,0.238]). 死亡率的相对风险是0.176 (95% CI [0.114,0.238]). 死亡率的相对风险是0.176 (95% CI [0.114,0.238]).
结论:
- 全血输血 (WBT) 有效地恢复和稳定创伤患者.
- 持续的临床护理,物流解决方案和废物预防对WBT至关重要.
- 早期WBT推用于成年平民创伤复苏.
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