Grayson A D, Jackson M, Desmond M J
Department of Clinical Governance, The Cardiothoracic Centre-Liverpool, Liverpool, UK.
Vox Sang. 2003 Aug;85(2):96-101. doi: 10.1046/j.1423-0410.2003.00330.x.
The purpose of this work was to describe the methodology used to build a transfusion database that allows continuous audit of transfusion practices in coronary artery bypass surgery.
The transfusion database requires electronic data available from two sources: the hospital's patient administration system; and the local blood transfusion service.
We demonstrated a reduction in the percentage of patients receiving red blood cell transfusion: from 47.4% in 1997/1998 to 31.6% in 2001/2002 (P<0.001). Reductions have also been shown in the percentage of patients receiving fresh-frozen plasma and platelet units.
The data sourcing the transfusion database should be available to all hospitals through their patient administration systems and local blood transfusion service. Its use can help to reduce transfusion rates significantly.
本研究旨在描述用于建立输血数据库的方法，该数据库可对冠状动脉搭桥手术中的输血操作进行持续审计。
输血数据库需要来自两个来源的电子数据：医院的患者管理系统；以及当地的输血服务机构。
我们发现接受红细胞输血的患者比例有所下降：从1997/1998年的47.4%降至2001/2002年的31.6%（P<0.001）。接受新鲜冰冻血浆和血小板单位输血的患者比例也有所下降。
所有医院都应通过其患者管理系统和当地输血服务机构获取输血数据库的数据。使用该数据库有助于显著降低输血率。
