印度东部一家血液中心单次供者血小板置换手术参数及其与产量的关系分析

IF 0.1 Q4 HEMATOLOGY Iraqi Journal of Hematology Pub Date : 2022-07-01 DOI:10.4103/ijh.ijh_24_22
G. Kanungo, S. Routray, M. Agrawal, Aruna Sahu, Debasish Mishra
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引用次数: 0

摘要

背景:单一供体血小板最常用于预防和治疗血小板减少症患者的出血。血小板置换机应该花费更少的手术时间、最佳产量和供体舒适度。本研究旨在比较不同的供体参数,如预采血小板计数和红细胞压积(Hct)、处理的血容量(BV)以及血型与产量的关系。材料和方法:在输血医学科和血液中心进行为期12个月的回顾性研究。从寄存器中收集了关于Trima Accel的一百五十九个平板置换程序数据,并将其汇编在Excel表中。供体程序变量计算为平均值±标准差。使用Excel表格中的Pearson相关系数和Microsoft Windows 7软件分析供体参数与产量和输注抗凝剂(AC)与运行时间的相关性。在GraphPad 9软件CA中分析血型与产量之间的关系。P<0.05,<0.001具有统计学意义。结果:预处理血小板计数(r=0.61,P<0.001)和BV处理(r=0.18,P<0.05)与产量呈正相关。预处理血红蛋白、Hct和运行时间与输注AC呈正相关(r=0.72,P<0.001)。不同血型与产量无统计学意义。结论:在本研究中,预处理血小板计数与产率直接相关;因此,具有高血小板计数的供体可以被认为具有更好的产率。运行时间也与AC流向捐赠者有直接关系;最短的运行时间在防止对供体的不良影响方面也有作用。
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Analysis of single-donor plateletpheresis procedure parameters and its association with yield in a blood center of Eastern India
BACKGROUND: Single-donor platelets are most commonly used to prevent and treat bleeding in thrombocytopenic patients. Plateletpheresis machines should take less procedure time, optimal yield, and donor comfort. This study aimed to compare different donor parameters such as predonation platelet count and hematocrit (Hct), blood volume (BV) processed, and blood group association with yield. MATERIALS AND METHODS: A retrospective study was conducted in the transfusion medicine department and blood center for 12 months. One hundred and fifty-nine plateletpheresis procedural data on Trima Accel were collected from the register and compiled in the Excel sheet. Donor procedure variables were calculated as mean ± standard deviation. Correlation between donor parameters with yield and anticoagulant (AC) infused to the donor with run time was analyzed using Pearson correlation coefficient in Excel sheet with Microsoft Windows 7 software. The association between blood group and yield was analyzed in GraphPad 9 software, CA. P < 0.05, <0.001 was statistically significant. RESULTS: Predonation platelet count (r = 0.61, P < 0.001) and BV processed (r = 0.18, P < 0.05) were positively correlated with yield. Predonation hemoglobin, Hct, and Run time was positively correlated with AC infused to the donor (r = 0.72, P < 0.001). Different blood groups had no statistical significance association with yield. CONCLUSION: In our study, predonation platelet count directly relates to yield; hence, donors with high platelet count may be considered for better yield. Run time also had a direct relation with AC going to the donor; minimal run time also had a role in preventing adverse effects on the donor.
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