与长期住院相关的因素 在接受门诊异构干细胞移植的患者中
Edward Koo1, Connor Prince1, David Allan1
1Transplant and Cellular Therapy Program, Division of Hematology, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, CA.
Transplantation and cellular therapy
|February 14, 2026
概括
门诊的全源性造血干细胞移植 (HCT) 是安全的,可行的,节省了医院的几天. 女性性别,低血红蛋白和某些移植因素预测了更长的住院时间,有助于资源管理.
科学领域:
- 血液学 血液学 血液学
- 移植医学 移植医学
- 在瘤学瘤学.
背景情况:
- 全基性造血干细胞移植 (HCT) 越来越多地在门诊机构进行.
- 有限的数据存在于影响长期住院的因素对门诊异构性HCT患者.
研究的目的:
- 在门诊日间医院模型中,确定与在异质性HCT接受患者的长期住院相关的参数.
主要方法:
- 对213名接受户外全源性高血压试验的患者进行了回顾性分析 (2021年7月至2024年7月).
- 曼-惠特尼U和Chi平方测试用于单变量分析.
- 二元逻辑回归用于多变量分析,以确定与>5天住院住院相关的因素.
主要成果:
- 女性性别,移植前血红蛋白<100g/L,HCT-CI>2,非弗鲁达拉宾/布苏尔调节方案,以及ABO不匹配与长时间的住院住院有关.
- 13.3%的患者没有住院住院; 50.7%的患者有一次住院住院.
- 观察到每位患者平均节省了22个住院病床日.
结论:
- 通过日间医院模型进行门诊全基性HCT是一种可行且具有成本效益的方法.
- 识别导致长时间住院的因素有助于改善患者教育和资源配置.
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