在三级医疗中心对急性输血反应和输血错误的五年审查
1Trakya University Medical Faculty, Department of Hematology, Transfusion and Hemovigilance Unit, Edirne, Turkey.
概括
这项研究发现,虽然急性输血反应与文献率相似,但由于人为错误而导致的ABO不兼容红细胞 (RBC) 输血略有增加. 建议加强对输血前安全性的警.
科学领域:
- 输血医学 输血医学
- 患者安全 患者安全
- 血液学 血液学 血液学
背景情况:
- 输血至关重要,但会带来反应的风险,错误是主要可预防的原因.
- 了解急性输血反应 (ATR) 和错误的频率和性质对于提高患者安全至关重要.
研究的目的:
- 确定急性输血反应 (ATR) 的发生率和特征.
- 为了确定可预防的输血错误的频率和类型,特别是由于人为错误而导致的ABO不兼容红细胞 (RBC) 输血.
主要方法:
- 从2019年1月到2023年12月,对输血和反应的回顾性数据收集.
- 对报告的输血反应形式和输血中心记录的分析.
主要成果:
- 在163,114次输血中,发生了116次急性输血反应 (0.071%).
- 过敏反应是最常见的ATR,红细胞 (RBC) 是最常见的相关产品.
- 由于人为错误而导致的ABO不兼容红细胞输血的比率为每10万次输血1.22;没有报告死亡事件.
结论:
- 整体发生率和ATR类型与现有文献一致.
- 由于人为错误而导致的ABO不兼容红细胞输血的发生率略高,与报告的比率相比.
- 提高报告意识和对输血前安全措施的专注监测对于减少输血错误至关重要.
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