在接受妇科手术的患者中治疗术周贫血:一项为期12年的多站点研究
Nadia Gabarin1, Yang Liu2, Mary Coll-Black3
1University Health Network, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto; Toronto, Ontario, Canada.
概括
手术前的贫血在妇科手术患者中很常见,并且与更糟糕的结果有关. 实施患者血液管理计划对于改善外科护理和降低风险至关重要.
科学领域:
- 麻醉学 麻醉学
- 血液学 血液学 血液学
- 妇科外科手术 妇科外科
背景情况:
- 术后贫血是不良外科手术结果的重要危险因素.
- 在手术患者护理中,有效管理贫血和输血是至关重要的.
研究的目的:
- 在接受妇科手术的患者中,描述红细胞输血和静脉注射 (IV) 铁的使用情况.
- 评估外科手术期间贫血的发生率及其与临床结果的关联.
主要方法:
- 使用加拿大安大略省多医院数据库进行的回顾性队列研究.
- 在2010年4月至2022年3月期间接受了妇科手术的确诊患者 (≥15岁).
- 主要结局:外科手术期间的红细胞输血和IV铁利用;次要结局:住院时间,ICU入院,死亡率.
主要成果:
- 27.6%的患者患有手术前的贫血; 18.7%接受了手术前的红细胞输血.
- 患有恶性瘤的患者与没有恶性瘤的患者相比,红细胞输血率 (29.7%) 较高 (7.8%).
- 术前贫血与急症监护室入院和住院时间增加相关,特别是在血红蛋白<80 g/L的患者中.
结论:
- 手术前贫血在妇科手术患者中很普遍,并与不良临床结果相关.
- 这项研究强调了机构患者血液管理计划的必要性.
- 优化贫血管理可能会改善手术结果并减少医疗保健利用率.
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