Relación del número de paquetes globulares transfundidos con el nivel de hemoglobina en pacientes adultos en estado crítico del Hospital II-2 Tarapoto, Región San Martín, 2022
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Date
2024
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Universidad Nacional de Trujillo
Abstract
En la presente investigación, se determinó la relación entre el número de paquetes globulares transfundidos a pacientes críticos ginecológicos y traumatológicos con los niveles de hemoglobina, a partir de las fichas de transfusión sanguínea e historia clínica en el Hospital II-2 Tarapoto, en el que ambos presentaron diferencia significativa entre el nivel inicial y final de hemoglobina y hematocrito con el test de Student p< 0,05. Los pacientes traumatológicos presentaron valores de hemoglobina y hematocrito promedio mayores respecto a los pacientes ginecológicos. Los pacientes críticos traumatológicos que se transfundieron 2,4 unidades en promedio, sus niveles de hemoglobina se incrementaron en 1,3 g/dl, y los pacientes ginecológicos transfundidos con 1,92 unidades, incrementaron su hemoglobina en 1,87 g/dl. Los parámetros como recuento de Hematíes, Volumen Corpuscular Medio, Hemoglobina Corpuscular Media y Concentración de Hemoglobina Corpuscular Media se mantuvieron similares después de haber transfundido los paquetes globulares. Al realizar la prueba de regresión múltiple con las variables de edad, número de paquetes globulares, nivel de hemoglobina y nivel de hematocrito, resultó que la variable excluida fue la edad, concluyéndose que la hemoglobina final fue incrementada con respecto a la hemoglobina inicial, tanto para pacientes ginecológicos y traumatológicos, y que la edad no se relaciona con el número de paquetes globulares transfundidos.
In the present investigation, the relationship between the number of red blood cells transfused to critically ill gynecological and trauma patients with hemoglobin levels was determined, from the blood transfusion records and clinical history at Hospital II-2 Tarapoto, in which Both presented a significant difference between the initial and final levels of hemoglobin and hematocrit with the Student test p < 0.05. Trauma patients had higher average hemoglobin and hematocrit values compared to gynecological patients. In critical trauma patients who were transfused with 2.4 units on average, their hemoglobin levels increased by 1.3 g/dl, and gynecological patients transfused with 1.92 units increased their hemoglobin by 1.87 g/dl. Parameters such as RBC count, Mean Corpuscular Volume, Mean Corpuscular Hemoglobin, and Mean Corpuscular Hemoglobin Concentration remained similar after having transfused the red blood cells. When performing the multiple regression test with the variables of age, number of red blood cells, hemoglobin level and hematocrit level, it turned out that the excluded variable was age, concluding that the final hemoglobin was increased with respect to the initial hemoglobin, both for gynecological and trauma patients, and that age is not related to the number of red cell packages transfused.
In the present investigation, the relationship between the number of red blood cells transfused to critically ill gynecological and trauma patients with hemoglobin levels was determined, from the blood transfusion records and clinical history at Hospital II-2 Tarapoto, in which Both presented a significant difference between the initial and final levels of hemoglobin and hematocrit with the Student test p < 0.05. Trauma patients had higher average hemoglobin and hematocrit values compared to gynecological patients. In critical trauma patients who were transfused with 2.4 units on average, their hemoglobin levels increased by 1.3 g/dl, and gynecological patients transfused with 1.92 units increased their hemoglobin by 1.87 g/dl. Parameters such as RBC count, Mean Corpuscular Volume, Mean Corpuscular Hemoglobin, and Mean Corpuscular Hemoglobin Concentration remained similar after having transfused the red blood cells. When performing the multiple regression test with the variables of age, number of red blood cells, hemoglobin level and hematocrit level, it turned out that the excluded variable was age, concluding that the final hemoglobin was increased with respect to the initial hemoglobin, both for gynecological and trauma patients, and that age is not related to the number of red cell packages transfused.
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Paciente crítico, hemoglobina, hematocrito, paquete globular