Lechner D L
Medical Surgical Telemetry Unit, St. Joseph's Healthcare System, Albuquerque, New Mexico, USA.
Nurs Manage. 1997 Apr;28(4):29-32.
A 3-year study evaluated various heparin dosing regimens. The clinical outcomes of a traditional non-weight-based method were compared with a newly designed standard protocol that related the heparin dose to patient weight. The relative time to achieve therapeutic anticoagulation, the number of additional intravenous heparin injections required and the length of hospitalization were all evaluated. Overall, it was found that the individualized weight-based protocol improved clinical outcomes and lowered medical costs.
一项为期3年的研究评估了各种肝素给药方案。将传统的非体重给药方法的临床结果与新设计的将肝素剂量与患者体重相关联的标准方案进行了比较。评估了达到治疗性抗凝的相对时间、所需额外静脉注射肝素的次数以及住院时间。总体而言,发现个体化的基于体重的方案改善了临床结果并降低了医疗成本。