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1단위 적혈구 수혈의 적정성 평가
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김신영 | - |
dc.contributor.author | 김현옥 | - |
dc.contributor.author | 백은정 | - |
dc.date.accessioned | 2014-12-21T17:03:03Z | - |
dc.date.available | 2014-12-21T17:03:03Z | - |
dc.date.issued | 2007 | - |
dc.identifier.issn | 1226-9336 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/96849 | - |
dc.description.abstract | Background: The domestic quantity of blood components consumed has been decreasing since 2002, but the rate of a single unit RBC transfusion (SUT) has been on the increase. In the past, a SUT was regarded as an uncesssary procedure, but currently is considered as an effective method to maintain a minimal hemoglobin concentration for physiological needs. We investigated the actual conditions of a SUT.Methods: We analyzed 800 cases of SUTs performed at a tertiary care university hospital between March 2006 March and February 2007. The subjects of the study were divided into a surgical group (n=561) and medical group (n=239) for the purpose of RBC unit usage and were analyzed by groups and ordering departments, with an analysis of the pre and post-transfusion hemoglobin concentration and hematocrit values. The distribution according to the pre and post-transfusion hemoglobin ranges were calculated.Results: The mean hemoglobin concentration increment of the surgical group was significantly lower than that of the medical group (P<0.0001) and the mean pre and post-transfusion hemoglobin concentrations of the medical group were lower than that of the surgical group (P<0.0001). Approximately 26% cases of the SUTs performed in the surgical group were appropriate, based on a post-transfusion hemoglobin concentration below 10 g/dL. In the medical group, about 75% of the SUTs were appropriate based on a pre-transfusion hemoglobin concentration below 9 g/dL.Conclusion: Most transfusions are decided based on various clinical situations and opinions of the clinicians. Therefore, continuous evaluation of the appropriateness of transfusion is necessary. In our study, the appropriateness of a SUT was estimated indirectly based on the pre and post-transfusion hemoglobin concentration. Consequently, policies and strategies for performing asingle unit RBC transfusion are required. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 177~187 | - |
dc.relation.isPartOf | Korean Journal of Blood Transfusion (대한수혈학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 1단위 적혈구 수혈의 적정성 평가 | - |
dc.title.alternative | Evaluating the Appropriateness of a Single Unit Transfusion | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Laboratory Medicine (진단검사의학) | - |
dc.contributor.googleauthor | 박용정 | - |
dc.contributor.googleauthor | 박윤희 | - |
dc.contributor.googleauthor | 김현옥 | - |
dc.contributor.googleauthor | 김신영 | - |
dc.contributor.googleauthor | 백은정 | - |
dc.contributor.googleauthor | 이양순 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00675 | - |
dc.contributor.localId | A01122 | - |
dc.contributor.localId | A01830 | - |
dc.relation.journalcode | J01970 | - |
dc.contributor.alternativeName | Kim, Sin Young | - |
dc.contributor.alternativeName | Kim, Hyun Ok | - |
dc.contributor.alternativeName | Baek, Eun Jung | - |
dc.contributor.affiliatedAuthor | Kim, Sin Young | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Ok | - |
dc.contributor.affiliatedAuthor | Baek, Eun Jung | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 18 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 177 | - |
dc.citation.endPage | 187 | - |
dc.identifier.bibliographicCitation | Korean Journal of Blood Transfusion (대한수혈학회지), Vol.18(3) : 177-187, 2007 | - |
dc.identifier.rimsid | 36945 | - |
dc.type.rims | ART | - |
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