术前贫血,输血和接受非心脏手术的儿童的结果之间的关联
Genevieve McCormack1, David Faraoni2, James A DiNardo2
1State University of New York Upstate Medical University, Syracuse, NY, USA.
British journal of anaesthesia
|June 11, 2025
概括
在小儿非心脏手术患者的手术前贫血和输血患者在11年内保持稳定. 贫血和输血,无论是独立的还是联合的,都显著增加了30天的死亡率和并发症.
科学领域:
- 儿科手术 儿科手术
- 麻醉学 麻醉学
- 血液学 血液学 血液学
背景情况:
- 术前贫血和术后输血在儿科非心脏手术中很常见.
- 了解它们对术后结果的影响对于患者安全至关重要.
研究的目的:
- 为了评估在11年内接受非心脏手术的儿童手术前贫血和输血的发生率.
- 确定术前贫血,术后输血和30天死亡率和术后并发症之间的关联.
主要方法:
- 美国外科医生学院国家外科质量改善计划儿科数据库 (2012-2023) 的回顾性分析.
- 包括1至18岁的儿童,记录了手术前血红素.
- 分类为四组:没有贫血/没有输血,没有贫血/没有输血,贫血/没有输血,贫血/输血.
主要成果:
- 手术前贫血发病率为25.7%,输血率为10.4%,在2012-2023年期间保持稳定.
- 在不同组中,30天死亡率显著增加,在接受输血的贫血患者中,死亡率最高 (1.11%).
- 接受外科手术期间输血的贫血儿童患上术后并发症的发病率最高.
结论:
- 在小儿非心脏手术中,手术前的贫血和输血率稳定.
- 贫血和输血,特别是组合,都与儿童30天死亡率和术后并发症的增加有关.
更多相关视频
相关概念视频
Blood Transfusion
527
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...
527
Bone Marrow Sampling and Transplants
313
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
313
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


