Effect of the Score of Indications for Emergency Blood Transfusion on Blood Transfusion in Emergency Obstetric Surgery
SHANG Yuhong
WANG Jingchao
SUN Zhishan
Abstract：Objective To analyze the blood transfusion details for obstetric emergency surgery patients before and after the implementation of the Emergency Transfusion Score(ETS)system in our hospital.Methods Basic in-formation,anesthesia records,and transfusion information data of obstetric emergency surgery patients treated at Dong-ying Kenli District Community Health Service Center's MedistoneDo Care Anesthesia System from January 2022 to December 2023 were analyzed.Patients were divided into ETS and non-ETS groups based on the implementation of the scoring system.A retrospective analysis was conducted on the transfusion patterns in both groups.Results Before and after the implementation of the ETS,there were no significant differences in the age,gender,body mass index,ASA classification,or fluid volume of emergency patients(P＞0.05).Prior to ETS implementation,72 obstetric emergency patients received blood transfusions(12.31％);post-implementation,this number decreased to 58 patients(9.45％).Further analysis revealed that while the overall red blood cell(RBC)transfusion rate remained unchanged(P＞0.05),there was a significant reduction in the RBC transfusion rate among older mothers after ETS(P＜0.05),as well as among pa-tients classified as ASA Ⅰ-Ⅱ(P＜0.05),alongside a decrease in intraoperative RBC volume transfused(P＜0.05).Conclu-sion The implementation of the ETS system effectively reduced the irrationality of transfusions in obstetric emergency surgeries and significantly improved transfusion efficacy.
Keywords：emergency treatmentblood transfusionhospitalsmaternitygynecologic surgical procedures
Publication Date：2024-09-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1055-1057 )