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진료과별 적혈구 수혈 결정 최저 혈색소 수치 검토

Other Titles
 Evaluation of the Level of Minimum Hemoglobin Trigger for Red Blood Cell Transfusion according to Clinical Departments 
 조주영  ;  김대원  ;  이은경  ;  김현옥 
 Korean Journal of Blood Transfusion (대한수혈학회지), Vol.28(1) : 49-57, 2017 
Journal Title
Korean Journal of Blood Transfusion(대한수혈학회지)
Issue Date
Hemoglobin ; Trigger ; Red Blood Cell ; Transfusion ; Appropriateness
Background: Red blood cell (RBC) transfusion is one of the major treatments for correcting anemia, but its use
should be carefully considered because of adverse transfusion reactions and inappropriate usage. Therefore, individual health care facilities have self evaluated their use of transfusion in an attempt to decrease unnecessary
procedures. In this study, we evaluated the differences in the minimum hemoglobin (Hb) trigger for RBC transfusion among clinical departments in Severance Hospital.
Methods: We analyzed the electronic medical records of RBC transfusion episodes that were conducted at a Hb
level above 8 g/dL from July 2014 to September 2015. We classified these data by clinical department, and
considered the overall medical conditions of the patients. The minimum Hb trigger level in this study was defined
as the lowest Hb level within 24 hours prior to RBC transfusion.
Results: A total of 4,953 RBC transfusion episodes that were conducted at Hb levels above 8 g/dL were analyzed
over that period. In general, the minimum Hb trigger level was higher in the operation group than the hemorrhage group. When compared among clinical departments, the department of orthopedic surgery, neurosurgery, rehabilitation medicine, and anesthesiology showed high levels of minimum Hb trigger equal to or greater than 10 g/dL.
Conclusion: The minimum Hb trigger level differed among clinical departments, with the operation group showing a much higher level of minimum Hb trigger. We hope that these data will be practically applied to establish plans and strategies for managing the appropriateness of RBC transfusions in Korea. In addition, continuous evaluation and transfusion education for clinical departments should be performed
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1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Ok(김현옥) ORCID logo https://orcid.org/0000-0002-4964-1963
Lee, Eunkyung(이은경)
Cho, Jooyoung(조주영)
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