Transfusion practice in central Virginia
Transfusion practice in central Virginia
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弗吉尼亚州中部的输血实践
作者：
SS Cook;J. Epps
对输血安全性的日益关注，以及平衡血液供应和血液需求的愿望，促使一家地区性血液中心研究血液的利用，而不是简单地研究血液的分布。在弗吉尼亚州中部的12家医院进行了一项全面的输血使用调查，包括红细胞(RBC)、新鲜冰冻血浆(FFP)和血小板(PLT)。2579名输血患者的医疗记录显示，23%的患者的主要诊断涉及循环系统疾病，16%的患者涉及肿瘤，归入诊断相关组。66%(n=1691)的患者接受了某种类型的手术，手术患者总体使用的血液单位(红细胞、FFP和PLT)是非手术患者的1.9倍。患者平均年龄61岁，男女比例为48：52%。这种对区域血液利用的描述性分析有助于规划当地的血液需求，提供了血液使用最多的地区的指标，并提供了该地区和其他地区的基线数据，以供将来进行比较。
Increasing concern about the safety of transfusions and a desire to balance blood supply and blood needs stimulated a regional blood center to study the utilization of blood, rather than simply looking at distribution. A comprehensive survey of transfusion use, including packed red cells (RBCs), fresh‐frozen plasma (FFP), and platelets (PLTs), was conducted in 12 Central Virginia hospitals. The medical records of 2579 transfused patients showed that the principal diagnoses in 23 percent of patients involved diseases of the circulatory system and those in 16 percent involved neoplasms, as classified under the diagnosis‐related groups. Sixty‐six percent (n = 1691) of patients had some type of surgery, with surgical patients overall using 1.9 times as many units of blood (RBCs, FFP, and PLTs) as nonsurgical patients. Mean patient age was 61 years, and the male:female ratio was 48:52 percent. This descriptive analysis of regional blood utilization has facilitated planning for local blood needs, provided indicators for areas of largest blood use, and given this region and others baseline data for future comparison.