关键词: Hematologic disorders Quality of life Transfusion threshold

来  源:   DOI:10.5045/br.2023.2023009   PDF(Pubmed)

Abstract:
Transfusion is an essential life-sustaining treatment for many patients. However, unnecessary transfusion has been reported to be related to worse patient outcomes. Further, owing to the recent pandemic, blood supply has been more challenging to maintain. Many studies have been conducted to elucidate the optimal transfusion threshold for many clinical conditions, and most suggested that a restrictive transfusion strategy has advantages over a liberal transfusion strategy. Hematologic disorders, which require chronic transfusion in many cases, have not been the main subjects of such studies, and only little evidence is available regarding the optimal transfusion threshold in these patients. According to several recent studies, a liberal transfusion strategy is preferable for patients with hematologic disorders due to their quality of life. A patient-centered approach is needed for proper management of hematologic disorders.
摘要:
输血是许多患者的重要维持生命的治疗方法。然而,据报道,不必要的输血与患者预后较差有关.Further,由于最近的大流行,维持血液供应更具挑战性。已经进行了许多研究来阐明许多临床条件的最佳输血阈值。大多数人认为限制性输血策略比自由输血策略有优势。血液系统疾病,在许多情况下需要慢性输血,不是这些研究的主要主题,关于这些患者的最佳输血阈值的证据很少。根据最近的几项研究,对于血液病患者,由于他们的生活质量,宽松的输血策略更可取.需要以患者为中心的方法来正确管理血液系统疾病。
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