Korean J Blood Transfus.  2017 Dec;28(3):248-255. 10.17945/kjbt.2017.28.3.248.

Comparative Analytical Study on Massive Transfusion between Traumatic Emergency and Existing Emergency Rooms for Traumatic Patients at a Tertiary Hospital

• Yoo DW
• Kim H
• Shin KH
• Lee HJ
• Chang CL
• Kim HH

• KMID: 2401742
• DOI: http://doi.org/10.17945/kjbt.2017.28.3.248

Abstract

BACKGROUND
Massive transfusion is defined as an 8- to 10-unit transfusion of red blood cells (RBC) within 24 hours in an adult or a 4- to 5-unit transfusion of RBC within 1 hour. Massive transfusion plays an important role in saving the lives of trauma patients. We investigated changes in blood volume and blood product ratios used in massive transfusion in trauma patients at emergency room (ER) and traumatic center emergency room (TER) and evaluated prognostic factors of patients based on mortality.
METHODS
We compared massive transfusion requirements for trauma patients between the ER and TER such as amount of transfusion, mortality, and ratio of products. The patients selected were over 18 years old. The patients who were transfused with more than 10 units of RBC within 24 hours were defined as massive transfusion patients.
RESULTS
There were a total of 189 people who received massive transfusions at the ER over 4 years, and 67 patients were transfused at the TER over 1 year. There was no significant difference in the ratio of blood products between the two groups, but the mortality rate of the ER (63.1%) was significantly higher than the TER (41.8%).
CONCLUSION
The ratio of blood products was not related to patient mortality, but the mortality rate of the TER was lower than that of the ER.

Keyword

Massive transfusion; Traumatic emergency room; The ratio of blood products

MeSH Terms

Adult
Blood Volume
Emergencies*
Emergency Service, Hospital*
Erythrocytes
Humans
Mortality
Tertiary Care Centers*