印度特兰加纳州的血液成分利用和丢弃模式:为期三年的回顾性研究
Jeeth Rai1, Nirlipta Kumar Behera2, Manoj Kumar Gupta3
1Department of Periodontology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Sangli, IND.
Cureus
|January 23, 2026
概括
泰兰加纳州的输血服务显示,红细胞使用效率高,但血小板和血的浪费很高. 与到期相关的废物增加需要更好的库存和全州的患者血液管理策略.
科学领域:
- 医疗保健管理的管理
- 输血医学 输血医学
- 公共卫生 公共卫生
背景情况:
- 输血服务对临床护理至关重要,需要最佳的血液成分利用,以提高医疗保健的效率.
- 血液成分的浪费会影响资源的可用性和医疗保健成本.
- 了解利用和丢弃模式是改善血液银行运营的关键.
研究的目的:
- 评估特拉干纳州血液成分征集,利用和丢弃的全州模式.
- 为了确定导致血液成分浪费的因素.
- 评估特定组件和系统层面的低效率.
主要方法:
- 追溯观察性研究,对特拉纳州50家授权血液银行2022年1月至2024年12月期间的记录进行研究.
- 对要求,交叉匹配,发放,输血,返回和丢弃包装红细胞 (PRC),新鲜冷血 (FFP) 和血小板缩物 (PC) 的数据进行分析.
- 计算关键指标:交叉匹配与输血比率 (C/T),输血概率 (%T),输血指数 (TI),利用率和丢弃率.
主要成果:
- 总体利用率为87.7%,丢弃率为12.3%,每年增加.
- 包装红细胞 (PRC) 的利用率高 (92.1%),丢弃率低 (7.9%).
- 新鲜冷血 (FFP) 和血小板缩物 (PCs) 的利用率较低 (~83%) 和更高的丢弃率 (16.9%和17.0%). 过期是浪费的主要原因.
结论:
- 虽然红细胞的利用效率很高,但特拉干纳州的血液银行仍然存在大量的血小板和血浪费.
- 与过期相关的丢弃品的上升趋势需要紧急关注.
- 改善库存管理,再分配系统和全州患者血液管理策略对于减少血液成分浪费至关重要.
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