在分娩的患者中,紧急和非紧急输血的风险因素分层
Douglas S Richards1, Sarah J Ilstrup2, M Sean Esplin1
1Intermountain Health, and the University of Utah Division of Maternal Fetal Medicine (Richards, Esplin, and Dizon-Townson), Salt Lake City, Utah, USA.
American journal of obstetrics & gynecology MFM
|September 22, 2024
概括
母亲出血风险分层是关键的. 大多数患者不需要输血,这使得血液制备方案更简单,成本更低.
科学领域:
- 产科和妇科 产科和妇科
- 输血医学 输血医学
- 医疗保健管理的管理
背景情况:
- 孕产妇出血是导致疾病的主要原因.
- 当前的输血准备指南通常基于危险因素,而不是输血概率.
- 对于所有分娩的例行血液制备的成本效益是可疑的.
研究的目的:
- 量化入院风险因素对输血需求的重要性.
- 为个体患者输血风险评估制定一个公式.
- 根据风险来告知适当的初始血液制备水平.
主要方法:
- 在18家医院进行了89,881次分娩的回顾性队列研究.
- 提取出血风险因素和输血准备水平.
- 输血的计算几率比率和患者特定的输血概率.
主要成果:
- 只有0.72%的患者接受过任何输血;0.35%需要紧急输血.
- 87.8%的患者有<1%的可能需要输血.
- 最高的输血风险与胎盘增殖谱,低入院血红蛋白和胎盘前期有关.
结论:
- 大多数患者需要输血的可能性非常低,尤其是紧急输血.
- 建议大多数患者使用"保持凝块"策略,为高危人群保留更广泛的准备.
- 实施这一战略可以显著降低医院的血液银行成本.
相关概念视频
01:15Blood Transfusion
527
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
527
02:45Blood Transfusion and Agglutination
10.7K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
10.7K
01:19Rh Blood Group
1.4K
The Rhesus (Rh) antigen is crucial in determining blood groups and ensuring compatibility during blood transfusions.
1.4K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
525
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
525
01:19Assessing Blood pressure using a doppler ultrasound
1.2K
To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.2K