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Updated: May 25, 2025

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在平民创伤复苏中全血需求:对血液库存计划的影响
Riley Goldsmith1, Arshin Ghaedi1, Audrey L Spencer1
1Division of Trauma, Critical Care, Emergency Surgery, and Burns, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
The Journal of surgical research
|February 27, 2025
概括
创伤中心需要大约14个单位的全血相当量 (WBE) 进行大规模输血. 这一发现有助于优化全血库存管理,以获得更好的患者结果.
科学领域:
- 创伤外科 手术 创伤外科
- 输血医学 输血医学
- 紧急医疗 紧急医疗
背景情况:
- 为创伤中心确定足够的全血 (WB) 库存是一项挑战.
- 这项研究利用了军队的全血等价 (WBE) 概念来评估WB需求.
研究的目的:
- 为了确定当前的全血 (WB) 需求,在各种创伤中心水平上使用全血等价物 (WBE).
- 为实施世界银行计划的创伤中心提供库存管理策略的信息.
主要方法:
- 美国外科医生学院创伤质量改善计划数据库 (2017-2018) 的回顾性分析.
- 包括接受大量输血的成年创伤患者 (≥16岁).
- 计算WBE作为WB单位加同等成分产品单位 (RBC + FFP + 0.2个血小板).
主要成果:
- 分析了9976名患者;平均年龄41岁,77.8%是男性.
- 在24小时内,WBE输血的中位数为10单位.
- 75%的患者需要≤14个WBE单位,90%需要≤17个WBE单位.
- 在创伤中心水平之间,中位数WBE输血没有显著差异 (P=0.126).
结论:
- 在全国范围内,75%的大型输血患者接受了≤14个WBE单位.
- 这些发现为创伤中心提供了关键数据,以优化WB库存.
- 支持未来全血计划的有效实施.
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