对印度北部某三级医疗中心择期手术的血液利用情况进行评估,以制定最大外科订血计划。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Tamanna Kalra, Saurabh Gupta, Anshul Gupta, Nidhi Bansal, Yadwinder Kaur, Shiny Kajal
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引用次数: 0

摘要

背景:输血在外科手术患者的复苏和管理中起着至关重要的作用。然而,世界范围内已报告了不协调的血液订购和使用情况,需要对血液订购模式进行评估,并通过诸如最大外科血液订购计划(MSBOS)等方案解决需求和利用之间的差距。目的:评估血液利用情况,设计一套血液订购表,以指导普通择期手术的正常输血需求,并分析输血指标的专科差异。方法:进行为期12个月的观察性横断面研究。研究分析了8个不同外科专业的52项选择性手术,包括泌尿外科、心胸外科、胃外科、儿科外科、肿瘤外科、骨科、妇产科和耳鼻喉科。血液利用指数-根据标准血液使用计算输血交叉匹配率(CTR)、输血概率(%T)、输血指数、血液利用率%、非使用概率和血液排序商(BOQ),以使用Mead标准制定MSBOS。结果:882例患者共需要1160个填充红细胞进行交叉匹配。输了574个单位。586个单位(51%)未使用,提示任意定血。在不同的专业中,不使用交叉匹配的单位从27%到100%不等。总体T百分比为48.64%,从泌尿外科的13.23%到心胸外科的88.89%不等。不同专科的CTR为1.37 ~ 7.38,TI为0 ~ 2.03,BOQ为0.92 ~ 1.36。结论:合理用血是必要的。在此基础上开发一个MSBOS将提高择期手术的血液利用效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Estimation of Blood Utilization in Elective Surgeries to Formulate Maximum Surgical Blood Ordering Schedule for a Tertiary Care Center in North India.

Estimation of Blood Utilization in Elective Surgeries to Formulate Maximum Surgical Blood Ordering Schedule for a Tertiary Care Center in North India.

Estimation of Blood Utilization in Elective Surgeries to Formulate Maximum Surgical Blood Ordering Schedule for a Tertiary Care Center in North India.

Background: Blood transfusion has an essential role in the resuscitation and management of patients undergoing surgical procedures. However, instances of incongruous blood ordering and usage have been reported worldwide, requiring an assessment of blood ordering patterns and addressing the gaps between requisition and utilization through programs such as Maximum Surgical Blood Ordering Schedule (MSBOS).

Aim: To estimate blood utilization, design a blood ordering schedule as a guide to normal transfusion needs for common elective surgeries and analyze the specialty-wise difference in blood transfusion indices.

Methods: An observational and cross-sectional study was undertaken for 12 months. Fifty-two elective surgeries across eight different surgical specialties were analyzed, including Urology, Cardiothoracic Surgery, Gastrosurgery, Pediatric Surgery, Oncosurgery, Orthopedics, Obstetrics and Gynecology, and Otorhinolaryngology. Blood utilization indices - Cross-match to Transfusion Ratio (CTR), transfusion probability (%T), Transfusion Index, Blood Utilization%, NonUsage Probability, and Blood Ordering Quotient (BOQ) were calculated against standard blood usage to formulate the MSBOS using the Mead's criteria.

Results: For 882 patients, 1160 packed red blood cells units were requested and cross-matched. Five hundred and seventy-four units were transfused. The nonutilization of 586 units (51%) suggested an indiscriminate ordering of blood. The nonusage of units cross-matched ranged from 27% to 100% in different specialties. The overall %T was 48.64%, varying from 13.23% in urological surgeries to 88.89% in cardiothoracic surgeries. The CTR ranged from 1.37 to 7.38, TI from 0 to 2.03, and BOQ from 0.92 to 1.36 in different specialties.

Conclusion: Rationalizing blood usage is essential. Developing an MSBOS based on the findings would enhance the efficiency of blood utilization in elective surgeries.

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