常规的手术前血型和保存是不必要的成人紧急尾切除术:一个追溯的多中心研究研究
Iona Robertson1, Jeeva Karuniya Sundarraj2, Khurram Shahzad Khan1,3
1Department of General Surgery, University Hospital Hairmyres, East Kilbride, Scotland, UK.
Scottish medical journal
|December 18, 2024
概括
在尾切除术前不需要常规组和保存 (G&S),因为没有患者需要输血. 这种做法造成了大量的成本和潜在的延误,这表明选择性G&S政策更合适.
科学领域:
- 一般外科 整体外科
- 外科手术的安全性
- 医疗保健经济学 医疗经济学
背景情况:
- 常规组和保存 (G&S) 是尾切除术前的一种常见的术前程序.
- 支持尾切除例行G&S的必要性的证据有限.
研究的目的:
- 评估在尾切除术中进行手术前G&S的必要性.
- 在接受尾切除的患者中确定外科手术期间输血率.
主要方法:
- 一个多中心的回顾性观察性研究.
- 涉及的成年患者在2018年8月至2020年11月期间接受紧急尾切除术.
- 收集的数据包括人口统计,手术细节,G&S,交叉匹配和外科手术期间输血率.
主要成果:
- 分析了1105名患者;83.3%的人患有手术前的G&S.
- 没有患者需要在尾切除术后30天内输血.
- 这个队列的常规G&S估计成本为40,164.4英.
结论:
- 在尾切除术患者中,术后输血是罕见的.
- 尾切除术的常规G&S不具有成本效益,可能导致延迟.
- 建议采用选择性的G&S政策,而不是常规实践.
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