对于患有与疫苗有关的血液输血问题患者的共享决策:一个单一机构的经验
David J Cho1, Allan M Klompas2,3, Jessica A Gonzalez2,3
1Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Transfusion
|October 24, 2024
概括
患者担心COVID-19疫苗接种的献血者可以在共享决策后同意输血. 这种方法赋予了患者权力,并改善了血液管理中的协作护理.
科学领域:
- 输血医学 输血医学
- 患者安全 患者安全
- 疫苗的犹 疫苗的犹
背景情况:
- 患者对接种了针对SARS-CoV-2 (COVID-19) 疫苗的捐赠者的全基血输血存在担忧.
- 关于患者表达这些担忧和输血同意期间管理的有限数据.
研究的目的:
- 描述在选择性手术前管理与疫苗有关的输血问题患者的经验.
- 总结这个患者队列中的治疗决策和临床结果.
主要方法:
- 无血医学和外科诊所患者的观察性描述性研究 (2022年6月至2024年6月).
- 用一个共享的决策框架来进行患者和临床医生的讨论.
- 审查了患者的特征,治疗选择和手术结果.
主要成果:
- 包括35名患者 (平均年龄61岁),其中大多数患者接受了心脏手术.
- 68.6%的受访者在讨论后同意采用全源血制品;14.3%的受访者只接受红细胞;17.1%的受访者拒绝所有.
- 在接受手术的患者中,只有14%的患者在术前接受过异构输血.
结论:
- 与无血医学专家的共享决策可以导致患者同意采用异构血制品,尽管疫苗存在担忧.
- 强调了在输血决策中患者赋权和协作护理的重要性.
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