单位:[1]School of Mathematics and Statistics, Wuhan University, Wuhan 430072, Hubei, China[2]Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China华中科技大学同济医学院附属同济医院麻醉科
Traditionally heparin is adapted according to total body weight (TBW) to providing anticoagulation during cardiopulmonary bypass (CPB), but it may be inaccurate in some patients. The medical records of 100 adult patients who received CPB in Tongji Hospital of Tongji Medical College Huazhong University of Science and Technology over a 10-month period in 2017 were included in the retrospective study. An unfractionated heparin (UFH) bolus of 300 IU/kg TBW was injected before initiation of CPB followed by additional doses (50 to 100 IU/kg) to maintain a target activated coagulation time (ACT) of at least 480 s. We used TBW, ideal body weight (IBW), lean body weight (LBW), or body mass index (BMI) to establish and evaluate a linear model of ACT and the amount of heparin respectively. The linear fit effect of the model based on BMI on the original data is better than the others. As the instruments to measure heparin concentration is unavailable in most medical institutions in China. The new linear model based on BMI is helpful to estimate a more individualized heparin dosage in the heparinized phase and to provide useful reference to the amount of remaining heparin in the neutralization phase.
语种:
外文
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PubmedID:
中科院(CAS)分区:
出版当年[2019]版:
大类|3 区医学
小类|4 区心脏和心血管系统4 区血液学4 区外周血管病
最新[2025]版:
大类|3 区医学
小类|3 区血液学4 区心脏和心血管系统4 区外周血管病
JCR分区:
出版当年[2018]版:
Q2PERIPHERAL VASCULAR DISEASEQ2HEMATOLOGYQ2CARDIAC & CARDIOVASCULAR SYSTEMS
第一作者单位:[1]School of Mathematics and Statistics, Wuhan University, Wuhan 430072, Hubei, China
通讯作者:
推荐引用方式(GB/T 7714):
gan yongbo,yang zhijian,mei wei,et al.Identifying optimal heparin management during cardiopulmonary bypass in Chinese people: a retrospective observational comparative study[J].JOURNAL OF THROMBOSIS AND THROMBOLYSIS.2020,49(3):480-486.doi:10.1007/s11239-019-01987-7.
APA:
gan,yongbo,yang,zhijian,mei,wei&zhu,chang.(2020).Identifying optimal heparin management during cardiopulmonary bypass in Chinese people: a retrospective observational comparative study.JOURNAL OF THROMBOSIS AND THROMBOLYSIS,49,(3)
MLA:
gan,yongbo,et al."Identifying optimal heparin management during cardiopulmonary bypass in Chinese people: a retrospective observational comparative study".JOURNAL OF THROMBOSIS AND THROMBOLYSIS 49..3(2020):480-486