Alahmari Abdulmajeed Fahad, Marzouki Hani Z, Alsallum Mohammed Saad, Subki Ahmed Hussein, Merdad Mazin
Department of Otorhinolaryngology, Head and Neck Surgery, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia,
Int J Gen Med. 2019 Feb 8;12:87-90. doi: 10.2147/IJGM.S170328. eCollection 2019.
Hospital blood banks face the common challenge of maintaining an adequate supply of blood products to serve all potential patients while minimizing the need to discard expired blood products. This study aimed to determine the risk of blood transfusion during elective thyroid and parathyroid surgery and potential factors related to blood loss and risk of transfusion in these cases.
The study included all thyroid and parathyroid surgeries performed at King Abdulaziz University Hospital between January 2015 and December 2017. After exclusion of patients with incomplete data, 179 patients with complete data who had undergone thyroid and parathyroid surgery were analyzed.
Of the179 patients included in this study, 33 (18.4%) were male. Overall, patients had a mean age and body-mass index of 44.55±13.67 years and 27.66±5.38 kg/m, respectively. The mean duration of surgery was 168.48±90.69 minutes. None of the patients had a history of previous radiotherapy, bleeding disorder, or blood transfusion. Benign goiter was the most common finding (n=78, 43.6%), followed by papillary carcinoma (n=49, 27.4%). During surgery, most patients (n=136, 76.0%) experienced minimal blood loss. None of the patients in our cohort (n= 179) required any blood transfusion or products.
In this study, we aimed to audit the surgical blood-ordering and -transfusion practices associated with elective thyroid and parathyroid surgeries at our institution. These practices are intended to balance the availability of blood products with the avoidance of unnecessary wastage. In our study of patients who underwent elective thyroid and parathyroid surgeries, parathyroid surgeries, none required blood transfusion.
医院血库面临着一个共同的挑战，即要维持充足的血液制品供应以满足所有潜在患者的需求，同时尽量减少丢弃过期血液制品的必要性。本研究旨在确定择期甲状腺和甲状旁腺手术期间输血的风险以及这些病例中与失血和输血风险相关的潜在因素。
该研究纳入了2015年1月至2017年12月在阿卜杜勒阿齐兹国王大学医院进行的所有甲状腺和甲状旁腺手术。在排除数据不完整的患者后，对179例接受甲状腺和甲状旁腺手术且数据完整的患者进行了分析。
本研究纳入的179例患者中，33例（18.4%）为男性。总体而言，患者的平均年龄和体重指数分别为44.55±13.67岁和27.66±5.38kg/m²。手术平均时长为168.48±90.69分钟。所有患者均无既往放疗、出血性疾病或输血史。良性甲状腺肿是最常见的诊断结果（n=78，43.6%），其次是乳头状癌（n=49，27.4%）。手术期间，大多数患者（n=136，76.0%）失血极少。我们队列中的所有患者（n=179）均未需要任何输血或血液制品。
在本研究中，我们旨在审核我院与择期甲状腺和甲状旁腺手术相关的外科用血订购和输血实践。这些实践旨在平衡血液制品的可获得性与避免不必要的浪费。在我们对接受择期甲状腺和甲状旁腺手术的患者的研究中，甲状旁腺手术患者均无需输血。
