用于定义在外科手术期间适当输血红细胞的标准:范围审查
Victoria Ivankovic1,2, Tori Lenet1,2, Kameela Alibhai3
1Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
BMC surgery
|December 3, 2025
概括
这次审查发现,虽然存在评估红细胞输血 (RBC) 的工具,但大多数研究依赖于非外科手术指南. 需要制定特定的手术内红细胞输血标准.
科学领域:
- 麻醉学 麻醉学
- 血液学 血液学 血液学
- 输血医学 输血医学
背景情况:
- 在手术内红细胞 (RBC) 输血实践中存在显著的变化.
- 在手术期间输血红细胞的现有策略受到许多因素的影响.
研究的目的:
- 确定和描述临床决策工具和评估手术内和手术后立即红细胞输血适当性的标准.
- 评估当前的红细胞输血在外科外围环境中的判断情况.
主要方法:
- 根据PRISMA对范围审查的指导方针进行了范围审查.
- 进行了对MEDLINE和EMBASE数据库的系统搜索.
- 包括关于开发,使用或验证术后红细胞输血适宜性工具或标准的研究报告.
主要成果:
- 在3,342个已识别的文章中,包括28个在分析中.
- 只有一个工具是专门设计用于手术内使用的.
- 大多数研究 (61%) 使用现有的非外科手术协会指南来判断红细胞输血的适当性.
结论:
- 确定了几个工具来判断红细胞输血的适当性.
- 大多数研究都采用了不适合外科手术环境的指南.
- 需要进一步的研究来制定手术内红细胞输血决策的具体标准.
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