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首页> 外文期刊>Spine >Use of the surgical blood order equation in spinal instrumentation and fusion surgery.
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Use of the surgical blood order equation in spinal instrumentation and fusion surgery.

机译：外科血液秩序方程在脊柱器械和融合手术中的应用。

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STUDY DESIGN: A retrospective review of 182 cases of adult spine instrumentation and fusion surgery (1994-1995) from one institution. OBJECTIVES: To develop and retrospectively evaluate the use of the surgical blood ordering equation for patients undergoing spinal instrumentation and fusion surgery. SUMMARY OF BACKGROUND DATA: The provision of effective and safe blood and blood products is the primary function of the hospital transfusion service. A quantification of blood bank efficiency is the crossmatch-to-transfusion ratio. The maximal surgical blood order schedule system has been used to improve the efficiency of surgical ordering practices. The current authors have developed a theoretically more efficient system, the surgical blood ordering equation, which incorporates patient factors for ordering red blood cell units for surgical patients. METHODS: The charts of 63 patients with autologous red blood cells available and 119 adult patients with none available, who underwent multilevel spine surgery from January 1994 to July 1995, were reviewed. RESULTS: The surgical blood ordering equation was exactly correct in the ordering for 37 (20.3%) of 182 patients. The maximal surgical blood order schedule was exactly correct in ordering blood for 14 patients (7.6%). Use of the new surgical blood ordering equation to order red blood cells for surgery would result in a lower crossmatch-to-transfusion ratio than with the current system, the maximal surgical blood order schedule, for patients with autologous red blood cells available (1. 0 vs. 1.3) and patients with none available (0.9 vs. 1.2). CONCLUSION: Incorporating patient factors resulted in increased efficiency of blood ordering practices.
机译：研究设计：回顾性回顾了来自一所机构的182例成人脊柱器械融合手术（1994-1995年）。目的：开发并回顾性评估外科血液订购方程在脊柱器械和融合手术患者中的应用。背景数据摘要：提供有效和安全的血液和血液制品是医院输血服务的主要功能。血库效率的量化是交叉匹配与输血的比率。最大的外科血液订购计划系统已用于提高外科订购实践的效率。目前的作者已经开发出一种理论上更有效的系统，即手术血液订购方程，该系统结合了患者因素，可以为外科手术患者订购红细胞单元。方法：回顾了1994年1月至1995年7月接受多级脊柱手术的63例自体红细胞患者和119例无自体红细胞患者。结果：在182例患者中，有37例（20.3％）的手术血液订购方程式是完全正确的。最大的手术血液订购时间表完全正确，可为14位患者（7.6％）订购血液。使用新的手术血液排序方程式对用于手术的红细胞进行排序将导致交叉匹配与输血的比率低于当前系统的最大手术血液排序时间表，适用于具有自体红细胞的患者（1。 0 vs. 1.3）和没有患者的患者（0.9 vs. 1.2）。结论：纳入患者因素导致血液订购实践的效率提高。

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