在创伤患者的护理中遵守局部旋转血栓收缩仪的建议:一项回顾性队列研究
Vinyas Harish1,2, Gemma Postill1,2, Fayad Al-Haimus3,4
1Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Transfusion
|July 31, 2025
概括
在创伤护理中,遵守旋转血小板造影仪 (ROTEM) 建议是中度的,特别是在严重受伤的患者中. ROTEM异常增加了死亡风险,突显了需要更好地遵守静血疗法指南的必要性.
科学领域:
- 创伤护理 创伤护理
- 血静管理 血静管理
- 照顾点检测检测 照顾点检测
背景情况:
- 旋转血栓形成仪 (ROTEM) 有助于在创伤中做出静血治疗决策.
- 解释方面的挑战可能会阻碍在临床实践中遵守ROTEM.
- 评估是否遵守ROTEM指南对于优化创伤护理至关重要.
研究的目的:
- 评估创伤患者遵守当地ROTEM建议的情况.
- 为了确定与ROTEM坚持相关的因素.
- 为了确定ROTEM遵守对住院死亡率的影响.
主要方法:
- 在一级创伤中心对创伤患者 (2017-2021) 的回顾性队列研究.
- 通过将服用的血液制品与ROTEM指导的建议进行比较来评估遵守.
- 多变量后勤回归分析了影响坚持和死亡率的因素.
主要成果:
- 总体上,对ROTEM建议的遵守率为46.6%.
- 随着ROTEM异常的增加和受伤严重程度的增加,坚持性下降.
- 坚持ROTEM并没有显著降低住院死亡率,但异常增加了死亡风险.
结论:
- 观察到对ROTEM建议的适度遵守,严重受伤患者的比例较低.
- ROTEM异常与增加的住院死亡率有关.
- 量化ROTEM坚持对于改善其在创伤环境中的实施至关重要.
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