探索血液利用的模式在各种产科方案展开在三级保健中心的墙：从印度西部的前瞻性研究。

IF 1.2 4区医学 Q4 HEMATOLOGY

Transfusion Clinique et Biologique Pub Date : 2025-08-01 DOI:10.1016/j.tracli.2025.04.002

Nishith Nayan , Shweta Ranjan , Rakesh Kumar , Jitendra Patel , Nilamben Prajapati , Priyatma Kumari

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引用次数: 0

摘要

背景和目标：由于发展中国家对血液成分的需求不断增加，供应无法满足，因此有必要实施合理使用血液成分的战略。本研究的目的是评估在医院为基础的血液中心产科急诊输血做法。材料和方法：该研究于2020年11月至2021年10月进行，重点是需要输血的产科住院患者。根据医院的输血指导方针处理和交叉匹配请求。对临床情况和输血细节的数据进行分析，以评估与患者诊断相关的血液和血液成分的使用。结果：6753例住院产科病例中，334例患者要求血液成分。输注血液成分271例（81.1%）。共使用927个单位，其中填充红细胞占57.1%。最常见的适应症是无张力性产后出血（36.8%）、胎盘早剥（23.7%）和前置胎盘（16.5%）。交叉配血比为1.5，输血概率为81.1%，输血指数为2.8，最大订血计划为4.2。结论：应制定标准操作程序，以制定有效的血液订购政策，并严格遵守既定的输血指南。过度订购可能导致不必要的预订和随后的短缺。强调适当使用血液成分以确保其有效管理是至关重要的。

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Exploring the pattern of blood utilization in various obstetric scenarios unfolding within the wall of tertiary care centre: A prospective study from western India

Background and objectives

With increasing demand for blood components being unable to meet the supply in developing countries, there is a need to implement strategies for rational use of blood components. Present study aims to evaluate transfusion practices in obstetric emergencies in a hospital-based blood centre.

Material and methods

The study was conducted from November 2020 to October 2021, focussing on obstetric in-patients who requested blood transfusions. Requests were processed and cross-matched following the hospital’s transfusion guidelines. The data on clinical conditions and blood transfusion details were analysed to evaluate the use of blood and blood components in relation to the patients’ diagnosis.

Results

Out of 6,753 obstetric cases admitted, 334 patients requested blood components. Blood components were transfused to 271 (81.1%) patients. Total 927 units were used, out of which 57.1% were packed red blood cells. Most common indications were atonic postpartum haemorrhage (36.8%), placental abruption (23.7%) and placenta previa (16.5%). Crossmatch-to-Transfusion Ratio was 1.5, Transfusion Probability was 81.1%, Transfusion Index was 2.8, and Maximum Blood Ordering Schedule was 4.2.

Conclusion

Standard Operating Procedure for an efficient blood ordering policy should be developed and strict adherence to established blood transfusion guidelines must be ensured. Over-ordering can lead to unnecessary reservations and subsequent shortages. Emphasis on appropriate use of blood components to ensure their effective management is crucial.

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来源期刊

Transfusion Clinique et Biologique 医学-免疫学

CiteScore

2.50

自引率

11.80%

发文量

234

审稿时长

36 days

期刊介绍： Transfusion Clinique et Biologique, the official journal of the French Society of Blood Transfusion (SFTS): - an aid to training, at a European level - the only French journal indexed in the hematology and immunology sections of Current Contents Transfusion Clinique et Biologique spans fundamental research and everyday practice, with articles coming from both sides. Articles, reviews, case reports, letters to the editor and editorials are published in 4 editions a year, in French or in English, covering all scientific and medical aspects of transfusion: immunology, hematology, infectious diseases, genetics, molecular biology, etc. And finally, a convivial cross-disciplinary section on training and information offers practical updates. Readership: "Transfusers" are many and various: anesthetists, biologists, hematologists, and blood-bank, ICU and mobile emergency specialists...