Effect of prophylactic plasma transfusion on postoperative bleeding rate in ICU patients after different invasive procedures
10.13303/j.cjbt.issn.1004-549x.2022.10.008
- VernacularTitle:预防性输注血浆对ICU患者不同侵入性操作术后出血率的影响
- Author:
Qi REN
1
;
Jie ZHAO
2
;
Xuehua HE
3
;
Li SU
4
;
Juchuan CHAI
5
;
Lingling BAI
6
;
Zhengcai AO
7
;
Caixia WU
1
;
Yudi XIE
1
;
Ling LI
1
;
Zhong LIU
1
Author Information
1. Institute of Blood Transfusion, Chinese Academy of Medical Sciences & Peking Union Medical College
2. Sichuan Academy Of Medical Sciences, Sichuan Provincial People′s Hospital
3. Shanxi Bethune Hospital
4. Guizhou Provincial People′s Hospital
5. Zibo Central Hospital
6. The Third People′s Hospital of Chengdu
7. Chengdu Fifth People′s Hospital
- Publication Type:Journal Article
- Keywords:
invasive procedure;
prophylactic plasma transfusion;
bleeding
- From:
Chinese Journal of Blood Transfusion
2022;35(10):1027-1031
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To evaluate the association between prophylactic plasma transfusion and postoperative bleeding rate in critically ill patients undergoing different invasive procedures. 【Methods】 The information of ICU patients who received different invasive procedures from January 2019 to December 2019 in 6 tertiary hospitals in China were retrospectively investigated. The inclusion criteria of patients were as follows: age ≥ 18 years; received invasive procedures; INR ≥ 1.5 within 72 hours before surgery. Exclusion criteria were patients with incomplete case records. The patients finally included in the study were divided into prophylactic plasma transfusion group and non-prophylactic plasma transfusion group according to their plasma transfusion status. The outcome variable was the incidence of invasive procedure-related bleeding within 48 hours after different invasive procedures. 【Results】 A total of 407 patients underwent invasive procedures, and 362 patients were finally included in this study after excluding 45 patients with incomplete case records. The proportions of prophylactic plasma transfusion in different types of invasive procedures were central venous catheterization (46/146, 31.5%), thoracentesis (13/37, 35.1%), bronchoscopy (8/31, 25.8%), tracheal intubation (9/38, 23.7%), arterial catheterization (9/50, 18.0%) and others (13/60, 21.7%). The bleeding rates showed that different invasive procedures presented no statistical difference between the groups received plasma transfusion or not. In the prophylactic plasma transfusion group, the bleeding rate of arterial catheterization (4/9, 44.4%) was the highest, but all were potential bleeding, followed by tracheal intubation (4/10, 40.0%) and central venous intubation (16/46, 34.8%), with a higher rate of significant bleeding. 【Conclusion】 Prophylactic infusion of plasma did not reduce the bleeding rate after different invasive procedures, but prospective studies are needed to further confirm the conclusion; this study also provides a certain data basis for later prospective studies.
