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출혈성 쇼크 환자에서 비교차시험 O+형 혈액 수혈의 유용성

Other Titles
 Validity of Transfusing Group O+ Unmatched Packed Red Blood Cells in Hemorrhagic Shock Patients 
Authors
 이지환  ;  좌민홍  ;  조준호  ;  정성필 
Citation
 Journal of the Korean Association Traumatology (대한외상학회지), Vol.22(2) : 167-171, 2009-12 
Journal Title
Journal of the Korean Association Traumatology(대한외상학회지)
ISSN
 1738-8767 
Issue Date
2009-12
Keywords
Hypovolemia ; Shock ; Wound and injuries ; Blood transfusion ; ABO blood-group system
Abstract
Purpose: It is important to begin a transfusion safely and appropriately as soon as possible in a hemorrhagic
shock patient. A group O+ unmatched pack red blood cell (universal O+) transfusion may satisfy that requirement.
We report our experiences with universal O+ to compare its usefulness for hemorrhagic shock patients
with that of a matched pack red blood cell transfusion in the emergency department (ED).
Methods: This is a retrospective study. Patients who had systolic blood pressure of less than 90 mmHg or a
pulse rate of more than 120 beats per minute in the ED were included, and their medical records were
reviewed. The collected data were demographic data, vital signs, blood test results, time to transfusion, the
amount of transfusion, complications, and diagnoses. We calculated the emergency transfusion score (ETS)
based on the patients’ medical records.
Results: Two hundred thirty-five patients were included. Forty-eight patients (36 trauma and 12 non-trauma
patients) were transfused with a universal O+. These patients had less time to transfusion compared with the
cross-matched transfusion groups (35±42 versus 170±187 minutes, p<0.001). There were no differences in
complications between groups (p=0.076). Of the patients who were transfused with universal O+, 94.4% got
more than 3 ETS.
Conclusion: The universal O+ transfusion, compared with matched pack red blood cell transfusion, should be
a useful treatment for ED hemorrhagic shock patient due to its having a shorter time to transfusion without an
increase in complications.
Files in This Item:
T200906396.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Ji Hwan(이지환)
Chung, Sung Phil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
Cho, Junho(조준호) ORCID logo https://orcid.org/0000-0003-2240-3989
Choa, Min Hong(좌민홍) ORCID logo https://orcid.org/0000-0003-0338-994X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/178648
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