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评估一次性关节整形手术中输血前检测的必要性:系统性审查和元分析

Jorge H Nuñez^1,2,3, Berta Escudero^1,3, Juan Diego Montenegro^1,3

¹Department of Orthopaedic Surgery, University Hospital of Mutua de Terrassa, Barcelona, Spain.

Hip international : the journal of clinical and experimental research on hip pathology and therapy

|March 17, 2025

概括

在整部关节整形手术之前进行常规的输血前检测通常是不必要的,超额订购率为88.1%. 将测试限制在低血红蛋白患者身上,可以节省成本和资源.

科学领域:

输血医学输血医学
外科手术患者管理
卫生经济学卫生经济学

背景情况:

常规的输血前检测 (血型,查,交叉匹配) 对于手术患者来说,经常是过度订购的.
这种做法导致了可避免的重大成本和压力输血服务.

研究的目的:

系统地审查关于在全关节整形手术 (THA) 之前进行输血前检查的必要性的文献.
总结与THA患者常规输血前检测相关的结果.

主要方法:

系统审查和元分析.
分析研究特征,过度订购流行率,输血率和成本节省.
包括12,178名患者.

主要成果:

在一次性THA.中观察到88.1%的输血前测试过度排序率.
综合医院输血率为11.9%,手术内输血为0.4%.
输血和非输血患者之间观察到手术前血红蛋白水平的显著差异.
每位患者的潜在成本节省范围从2.10美元到191.27.7美元不等.

结论:

所有初级THA患者的常规输血前检测可能是不必要的.
建议将测试限制在手术前血红蛋白<12 g/dL的患者中,以单方面初级THA.
这种有针对性的方法可以实现大幅度的成本节约,并优化资源配置.

关键词:

血液血液血液血液这就是为什么HIPHIPHIPHIPHIPHIPHIP 输血前测试试验输血前测试整体关节整形术输血是输血的方法之一.

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