在全关节整形手术中进行外科手术期间输血的危险因素:元分析
1Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, Nanchong, 637000, China. 349702676@qq.com.
BMC musculoskeletal disorders
|June 7, 2025
概括
这一元分析确定了在全关节整形手术中进行外科手术期间输血的关键风险因素. 增加的出血,贫血,晚年,女性性别和高ASA类显著提高输血的可能性.
科学领域:
- 整形外科手术 整形外科手术
- 输血医学 输血医学
- 基于证据的医学基于证据的医学.
背景情况:
- 术后输血在关节整形术 (THA) 中很常见.
- 识别风险因素对于优化患者管理和降低输血率至关重要.
- 以前的研究已经探讨了各种因素,但需要进行综合分析.
研究的目的:
- 系统地评估和合成THA患者术后输血的潜在风险因素.
- 通过元分析提供影响输血需求的因素的全面概述.
主要方法:
- 在Web of Science,PubMed,Embase和Cochrane图书馆的系统文献搜索,截至2025年2月1日.
- 将所有关于外科手术期间输血风险因素的观察性研究纳入THA.
- 使用纽卡斯尔-太华尺度 (NOS) 进行质量评估,并通过Stata 15软件进行数据分析.
主要成果:
- 对18篇文章 (n=424,158) 的分析揭示了术后输血的显著风险因素.
- 这些因素包括手术期间出血增加,术后排水增加,低BMI (≤18.5),手术前贫血,晚年 (≥80),女性性别和高ASA类 (≥3).
结论:
- 增加的手术内出血,术后排水,低BMI,手术前贫血,晚年,女性性别和高ASA分类与THA中更高的输血率显著相关.
- 术前风险评估和量身定制的术后管理对于尽量减少输血需求和改善患者的结果至关重要.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4
Blood Transfusion
526
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
526
Pre-Procedural Guidelines for Assessing Blood Pressure
524
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
524
Blood Transfusion and Agglutination
10.7K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
10.7K
Kidney Transplant II: Surgical Procedure
2
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
2
Venous Thrombosis III: Interprofessional Care
3
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
3


