Cited 0 times in
혈소판 수혈 단위수의 제한으로 인한 수혈효과와 유용성
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김현옥 | - |
dc.contributor.author | 이양순 | - |
dc.date.accessioned | 2015-04-24T17:21:04Z | - |
dc.date.available | 2015-04-24T17:21:04Z | - |
dc.date.issued | 2009 | - |
dc.identifier.issn | 1598-6535 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/105235 | - |
dc.description.abstract | BACKGROUND: In Korea, a platelet transfusion dose (TD) of 8 units of platelet concentrates (PC) is usually used. To minimize the shortage of blood products and transfusion-related adverse reactions, the TD has been changed from 8 to 6 units in 2006 in our hospital. Here, we analyzed the dose reduction effect on patients' platelet counts and transfusion frequency. METHODS: We compared the amount of issued PC, platelet counts before and after transfusion, post-transfusion platelet increments, and transfusion frequencies in patients who were transfused with 8 PC in 2006 and 6 PC in 2008. RESULTS: Despite an increase in the number of admitted patients by 20% in 2008 with a disease distribution similar to that in 2006, the number of issued PC in 2008 was decreased by 26.6% compared to that in 2006. In 2008, post-transfusion platelet counts, pre-transfusion platelet counts in patients transfused with 320 mL whole blood-derived PC, and platelet increments in patients transfused with 400 mL whole blood-derived PC were significantly decreased. However, the mean transfusion frequency per one month was not significantly different, 4.3 times in 2006 and 4.7 in 2008. CONCLUSIONS: By implementing a policy of platelet TD restriction, the amount of total issued PC was markedly decreased. Although post-transfusion platelet counts were decreased, the transfusion frequency in a month was not significantly increased. The restriction of platelet TD was helpful for increasing physicians' recognition of blood shortage while achieving similar transfusion effects. We conclude that 6 units of PC would be a better guideline for the platelet TD | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 158~162 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF LABORATORY MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Evaluation Studies as Topic | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Organizational Policy | - |
dc.subject.MESH | Platelet Count | - |
dc.subject.MESH | Platelet Transfusion* | - |
dc.title | 혈소판 수혈 단위수의 제한으로 인한 수혈효과와 유용성 | - |
dc.title.alternative | Reduction of the Platelet Transfusion Dose and Its Effects | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Laboratory Medicine (진단검사의학) | - |
dc.contributor.googleauthor | 백은정 | - |
dc.contributor.googleauthor | 이양순 | - |
dc.contributor.googleauthor | 김효식 | - |
dc.contributor.googleauthor | 배인철 | - |
dc.contributor.googleauthor | 김현옥 | - |
dc.identifier.doi | 10.3343/kjlm.2009.29.2.158 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01122 | - |
dc.contributor.localId | A02947 | - |
dc.relation.journalcode | J02044 | - |
dc.identifier.pmid | 19411784 | - |
dc.subject.keyword | Platelet | - |
dc.subject.keyword | Transfusion dose | - |
dc.subject.keyword | Adequate transfusion | - |
dc.subject.keyword | Transfusion guidelines | - |
dc.contributor.alternativeName | Kim, Hyun Ok | - |
dc.contributor.alternativeName | Lee, Yang Soon | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Ok | - |
dc.contributor.affiliatedAuthor | Lee, Yang Soon | - |
dc.citation.volume | 29 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 158 | - |
dc.citation.endPage | 162 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF LABORATORY MEDICINE , Vol.29(2) : 158-162, 2009 | - |
dc.identifier.rimsid | 53215 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.