Autologous blood donation for elective surgery. Effect on physician transfusion behavior.
Autologous blood donation for elective surgery. Effect on physician transfusion behavior.
复制标题
用于择期手术的自体献血。
DOI：
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发表时间：
1987
期刊：
影响因子：
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通讯作者：
L. Goodnough
中科院分区：
文献类型：
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作者：
J. Wasman;L. Goodnough
回顾了69例接受择期手术的自体献血者和对照组的医院记录，以评估自体献血是否改变了医生的输血行为。与对照组相比，自体血预沉积患者的入院(0.372 vs 0.437[37.2%vs 43.7%])、最低值(0.304 vs 0.334[30.4%vs 33.4%])和出院(0.326 vs 0.358[32.6%vs 35.8%])均显著降低。此外，44名接受骨科手术的患者储存了足够的血液以防止同种异体血液暴露；17名患者中有10名患者如果储存了4U自体血液就可以避免同种血液。25名接受非骨科手术的患者储存的血液容量不足，无法满足意外的输血需求，但在临床没有输血指征的情况下，他们被输入了超过所需数量的自己的血液。未来需要进行旨在最大限度地获取自体血液的研究；然后将对医生的输血行为产生有益的影响，并辅之以可以消除这些患者的同种血液暴露的自体血液库存。
The hospital records of 69 autologous blood donors undergoing elective surgical procedures and those of matched controls were reviewed in an effort to assess whether autologous blood donation altered physician transfusion behavior. Physicians tolerated significantly lower admission (0.372 vs 0.437 [37.2% vs 43.7%]), nadir (0.304 vs 0.334 [30.4% vs 33.4%]), and discharge (0.326 vs 0.358 [32.6% vs 35.8%]) hematocrits in patients with autologous blood predeposits compared with matched controls. Additionally, 44 patients undergoing orthopedic procedures stored insufficient blood to prevent homologous blood exposure; ten of 17 patients could have avoided homologous blood if 4 U of autologous blood had been stored. Twenty-five patients undergoing nonorthopedic procedures stored an insufficient volume of blood to satisfy an unexpected transfusion need but were given transfusions of more than needed amounts of their own blood when transfusion was not clinically indicated. Future studies designed to maximize procurement of autologous blood are needed; a salutary effect on physician transfusion behavior would then be coupled with an autologous blood inventory that could eliminate homologous blood exposure in these patients.
DOI：
10.1056/nejm198702263160906
发表时间：
1987
期刊：
The New England journal of medicine
影响因子：
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作者：
Toy,PT;Strauss,RG;Stehling,LC;Sears,R;Price,TH;Rossi,EC;Collins,ML;Crowley,JP;Eisenstaedt,RS;Goodnough,LT
通讯作者：
Goodnough,LT