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韩国创伤患者大规模输血协议激活的预测因素:系统性审查
Dongmin Seo1, Inhae Heo1, Juhong Park1
1Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Journal of trauma and injury
|October 9, 2024
概括
这项研究确定了在韩国创伤患者中激活大规模输血协议 (MTP) 的关键预测因素. 临床评估,如冲击指数 (SI) 和实验室值,如乳酸水平,有效预测MTP激活.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 临床预测 临床预测
背景情况:
- 大规模输血协议 (MTP) 对于管理出血创伤至关重要.
- 预测评分系统有助于创伤复苏的临床决策.
- 韩国对MTP激活预测器的研究是有限的.
研究的目的:
- 系统地审查和识别韩国创伤患者中MTP激活的预测因素.
- 评估各种临床,实验室和成像工具的有效性.
主要方法:
- 对来自韩国的研究进行了系统审查.
- 搜索的数据库包括PubMed,Embase,Cochrane图书馆,RISS,KoreaMed和KMbase. 这些数据库的搜索数据库包括PubMed,Embase,Cochrane图书馆,RISS,KoreaMed和KMbase.
- 包括的研究集中在成人创伤患者MTP激活的预测因素.
主要成果:
- 分析了十篇文章,确定了几种预测因素.
- 临床评估:缩/腹缩血压,冲击指数 (SI),医院前修改SI,MEWS,rSIG.
- 实验室值:乳酸盐,纤维素/纤维素降解产品比率,ROTEM.
- 图像:盆腔出血分数. 图像:盆腔出血分数.
结论:
- 韩国创伤患者MTP激活的预测因素包括临床,实验室和成像工具.
- ROTEM,rSIG,MEWS,SI和乳酸盐显示出强大的预测价值.
- 建议个性化应用预测因子作为临床决策支持.
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