中国输血杂志2025，Vol.38Issue(11)：1495-1501,1520,8.DOI:10.13303/j.cjbt.issn.1004-549x.2025.11.004
智能输血系统应用于术中红细胞输注的效果评价
Efficacy assessment of an intelligent blood transfusion system in intraoperative red blood cell transfusion
陈麟凤 1冯宇 2田宗梅 3王岩 1周薇 3杨青青 4于洋 5汪德清5
作者信息
- 1. 首都医科大学附属北京世纪坛医院 输血科,北京 100038
- 2. 首都医科大学附属北京世纪坛医院医务处,北京 100038
- 3. 首都医科大学附属北京世纪坛医院 信息中心,北京 100038
- 4. 北京和兴创联健康科技有限公司,北京 102299
- 5. 解放军总医院第一医学中心 输血医学科,北京 100853
- 折叠
摘要
Abstract
Objective To evaluate the long-term effectiveness of an intelligent blood transfusion system in intraoperative blood management by comparing its performance with clinicians'decisions.Methods A retrospective analysis of 26 760 surgical cases(2017-2024)was conducted,comparing pre-and post-implementation(2017-2019 vs 2020-2024)met-rics,including transfusion prediction accuracy,rationality of blood use,and clinical outcomes.The system,powered by XGBoost,integrated patient demographics,laboratory results,and surgical data to predict red blood cell transfusion needs.Results The intelligent blood transfusion systems achieved an accuracy of 80.62%in predicting transfusion necessity,sig-nificantly outperforming clinicians(24.83%,P<0.001).Its blood-use rationality rate was 83.92%vs 18.02%for clini-cians(P<0.001).Post-implementation,major surgeries(grades Ⅲ-Ⅳ)increased while the requested blood units de-creased.High physician compliance(>75%)correlated with 88.18%rationality.Conclusion The intelligent blood trans-fusion system significantly improves the accuracy of transfusion decision-making,reduces excessive red blood cell use,opti-mizes perioperative transfusion management,and enhances the utilization of blood medical resources.关键词
智能输血系统/临床应用/效果评价/用血合理性Key words
intelligent blood transfusion system/clinical application/effectiveness evaluation/rationality of blood use分类
医药卫生引用本文复制引用
陈麟凤,冯宇,田宗梅,王岩,周薇,杨青青,于洋,汪德清..智能输血系统应用于术中红细胞输注的效果评价[J].中国输血杂志,2025,38(11):1495-1501,1520,8.
