通过引入输血团队来减少血液浪费
Biswadev Mitra1,2,3, Ruby Garland4, Jackson Catalano5
1School of Public Health & Preventive Medicine, Monash University, 553 St. Kilda Rd, Melbourne, VIC, 3004, Australia. Biswadev.mitra@monash.edu.
概括
在创伤中心设立专门的输血团队,大大减少了血液成分的浪费和输血量. 这种专注的方法优化了关键出血管理和资源利用.
科学领域:
- 紧急医疗 紧急医疗
- 血液学 血液学 血液学
- 创伤护理 创伤护理
背景情况:
- 血液成分的高浪费率 (高达10%) 发生在重症监护机构,通常是由于冷链中断.
- 在创伤复苏中,某些输血可能是不必要的,导致资源紧张.
研究的目的:
- 评估专门的输血团队对血液成分浪费的影响.
- 评估这些团队在重度出血患者的复苏期间对输血量的影响.
主要方法:
- 在一级创伤中心采用了回顾性干预前后研究设计.
- 干预的关键要素包括专门的"血液检查器",用于血液成分的17分钟计时器,与血液银行直接沟通,以及标准化的请求/使用/退款流程.
主要成果:
- 血液成分的浪费从干预前的1.7%下降到干预后的1.1% (p=0.008).
- 与干预前 (3单位) 相比,干预后 (2单位) 的患者输血量中位数显著下降 (p=0.002).
结论:
- 专门的输血团队与减少血液成分浪费和在创伤复苏中较低的输血量有关.
- 这些团队可以提高管理关键出血的精度,并允许领导者专注于血液控制.
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