Triage tool for the rationing of blood for massively bleeding patients during a severe national blood shortage: guidance from the National Blood Transfusion Committee
Triage tool for the rationing of blood for massively bleeding patients during a severe national blood shortage: guidance from the National Blood Transfusion Committee
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DOI：
10.1111/bjh.16736
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发表时间：
2020-05-20
影响因子：
6.5
通讯作者：
Murphy, Michael F.
中科院分区：
文献类型：
--
作者：
Doughty, Heidi;Green, Laura;Murphy, Michael F.
新出现的COVID-19大流行已使全球医疗资源不堪重负，对于输血服务来说，由于献血者严重短缺，这可能会导致供需迅速失衡。这可能导致血液成分不足以满足每个患者的需求，从而导致难以决定哪些大出血患者接受或不接受主动输血支持。本文件是代表英格兰国家输血委员会编写的，提供了一个框架和分诊工具，用于指导严重血液短缺期间大出血患者的血液分配。它的目标是以道德、公平和透明的方式提供输血，以确保最大数量的生命年得到挽救。它以加拿大的循证和伦理框架为基础，在血液需求大大超过供应，以及所有管理供求的措施都已用尽的情况下，它将开始运作。该指南补充了现有的国家红细胞和血小板短缺计划。
The emerging COVID-19 pandemic has overwhelmed healthcare resources worldwide, and for transfusion services this could potentially result in rapid imbalance between supply and demand due to a severe shortage of blood donors. This may result in insufficient blood components to meet every patient's needs resulting in difficult decisions about which patients with major bleeding do and do not receive active transfusion support. This document, which was prepared on behalf of the National Blood Transfusion Committee in England, provides a framework and triage tool to guide the allocation of blood for patients with massive haemorrhage during severe blood shortage. Its goal is to provide blood transfusions in an ethical, fair, and transparent way to ensure that the greatest number of life years are saved. It is based on an evidence- and ethics-based Canadian framework, and would become operational where demand for blood greatly exceeds supply, and where all measures to manage supply and demand have been exhausted. The guidance complements existing national shortage plans for red cells and platelets.