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在创伤中大规模输血协议利用的分析,跨越社会人口群体

Monique Arnold¹, Bharti Sharma^2,3, Matthew Conn²

¹Department of Emergency Medicine, Icahn School of Medicine at the Mount Sinai Hospital, New York, NY 10029, USA.

Medicina (Kaunas, Lithuania)

|July 30, 2025

概括

大规模输血协议 (MTP) 在年轻,男性和医疗补助患者中更有可能被激活,特别是在透创伤的情况下. 在MTP的徒劳性评估应该是公平的,考虑到生存概率.

科学领域:

创伤外科手术创伤外科
紧急医疗紧急医疗
关键的护理关键的护理

背景情况:

血液短缺构成国家危机,需要在大规模输血协议 (MTP) 期间明智使用血液制品.
优化MTP激活和资源分配对于有效管理创伤患者至关重要.

研究的目的:

调查创伤特征,社会经济因素和徒劳标记对MTP激活和输血的影响.
确定影响创伤患者接受MTP的可能性的关键预测因素.

主要方法:

在城市I级创伤中心 (2017-2022) 进行8670次创伤激活的回顾性分析.
评估ED内死亡率,初始复苏输血量,社会人口统计数据和创伤事件因素.
逻辑回归与类平衡用于评估MTP激活和输血结果.

主要成果:

MTP激活和输血与显著更高的ED死亡率有关.
透创伤强烈预测了MTP激活 (OR 5.81) 和输血 (OR 3.63).
年龄较小,男性性别和医疗补助保险与更高的MTP激活概率相关;医疗保险患者的可能性较低.

结论:

公平地评估MTP的徒劳性是必不可少的,考虑到患者的救助能力和低生存概率.
未来的输血指南应纳入生存概率,年龄和创伤机制,以优化MTP利用.

关键词:

紧急情况紧急情况大规模的输血输血.血小板血小板是输血是输血的方法之一.创伤的创伤创伤的创伤.

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