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Tytuł:
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Blood volume extracted from the critical patient in the first 24 hours after admission.
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Autorzy:
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Maqueda-Palau M; Unidad de Cuidados Intensivos, Hospital Universitari Son Espases, Palma, Marllorca, España. Electronic address: .
Pérez-Juan E; Unidad de Cuidados Intensivos, Hospital Universitari Son Espases, Palma, Marllorca, España.
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Transliterated Title:
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Volumen de sangre extraído al paciente crítico las primeras 24h de ingreso.
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Źródło:
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Enfermeria intensiva [Enferm Intensiva (Engl Ed)] 2018 Jan - Mar; Vol. 29 (1), pp. 14-20. Date of Electronic Publication: 2017 Dec 20.
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Typ publikacji:
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Journal Article; Observational Study
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Język:
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English; Spanish; Castilian
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Imprint Name(s):
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Original Publication: [Barcelona] : [Elsevier España], 2017-
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MeSH Terms:
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Critical Illness*
Blood Specimen Collection/*statistics & numerical data
Female ; Hemoglobins/analysis ; Humans ; Intensive Care Units ; Male ; Middle Aged ; Patient Admission ; Prospective Studies ; Time Factors
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Contributed Indexing:
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Keywords: Anaemia; Anemia; Blood volume; Haemoglobin; Hemoglobina; Intensive care unit; Recolección de muestras sangre; Specimen collection; Unidad de cuidados intensivos; Volumen sanguíneo
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Substance Nomenclature:
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0 (Hemoglobins)
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Entry Date(s):
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Date Created: 20171225 Date Completed: 20190104 Latest Revision: 20210524
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Update Code:
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20240105
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DOI:
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10.1016/j.enfi.2017.09.002
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PMID:
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29275137
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Objective: To calculate the number of analytical tests and blood volume drawn during the first 24hours of admission to the Intensive Care Unit (ICU). To analyse values of basal haemoglobin and at 24hours, relate them to blood loss, weight variation, and scoring system.
Method: An observational descriptive pilot study. Variables studied: age, sex, diagnosis on admission, analytical tests extracted, waste quantity before the extraction of samples, total volume blood extracted in 24hours, weight variation, APACHE, SAPS, basal haemoglobin and at 24hours. Statistical analysis with SPSS vs 20.0. Variables correlation sex, weight variation, the number of analytical tests and haemoglobin change.
Results: The study included 100 patients. The average number of extractions per patient/day was 7.2 (±2.6). The average waste quantity was 32.61ml (±15.8). The blood volume used for determinations was 48.18ml / 24h (±16.74). The haemoglobin value decreased in the first 24hours of admission, being higher in men (P<.05). The scoring systems were statistically significant for levels of haemoglobin (Hb1 -0.3; P=.001; Hb2 -0.4; P=.001).
Conclusions: Of the total volume of blood extracted in ICU, 40% belongs to a volume of waste and 60% of blood is used for analytical tests. There is a decrease in haemoglobin exists 24hours after admission of the critical patient. Statistically, it has not been possible to demonstrate its relation with the number of analytical tests.
(Copyright © 2017 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Publicado por Elsevier España, S.L.U. All rights reserved.)
