在患有胃肠道出血的患者中遵守患者血液管理策略:一项前性的全国多中心研究
Javier Tejedor-Tejada1, María Pilar Ballester2, Francisco Jose Del Castillo-Corzo3
1Department of Gastroenterology and Hepatology, Hospital Universitario Rio Hortega, Valladolid.
European journal of gastroenterology & hepatology
|September 26, 2024
概括
患者血液管理 (PBM) 的坚持性很高,对于胃肠道出血患者来说是安全的. 遵循PBM策略改善了患者的治疗结果,降低了死亡风险.
科学领域:
- 血液学 血液学 血液学
- 胃肠病学 胃肠病学
- 临床实践 临床实践
背景情况:
- 在临床实践中评估真实世界患者血液管理 (PBM) 的遵守.
- 评估胃肠道 (GI) 出血患者的管理. 在PBM战略实施后.
研究的目的:
- 在患有胃肠道出血的患者中评估PBM策略的遵守性和安全性.
- 确定PBM遵守对患者结果的影响.
主要方法:
- 全国范围,多中心,成年肠道出血患者的前性研究 (2019年3月至2021年3月).
- 根据入院血红蛋白 (Hb) 水平分类的患者.
- 适当的贫血/缺铁管理定义为>75%遵守PBM政策.
主要成果:
- 包括450名患者;55.1%接受输血,59.3%接受铁补充剂.
- 高守率:输血为90.9%,补充铁为81.8%.高守率:输血为90.9%,补充铁为81.8%
- PBM的坚持与停留时间或再出血风险没有相关性,但输血和补充铁与较低的死亡风险有关.
结论:
- 在胃肠道出血患者中观察到PBM的高坚持性和安全性.
- 坚持PBM策略与改善消化道出血管理的结果有关.
- 年龄和再次出血是显著的负面预后因素.
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