Variables predicting trauma patient survival following massive transfusion.

摘要: Introduction The literature contains little information regarding demographic or transfusion-related factors associated with survival following massive blood transfusion in trauma patients. objective of this study was to describe patient, transfusion, and laboratory variables contributing population during the first second days after arrival at hospital. A secondary identify costs transfusion. Methods 7-year, retrospective review 13,005 consecutive patient records yielded a sample 46 who were transfused ≥50 units products postinjury day. Descriptive statistics computed sample, data, values. Logistic regression used predict using selected characteristics, characteristics for both days. Results Overall among group received 63%. No significant differences found between survivors nonsurvivors age, sex, type trauma, amount any components administered on Day 1. Nonsurvivors had higher Injury Severity Scores shorter ICU hospital lengths stay. Controlling other variables, only arterial base deficit levels made unique contribution predicting survival. volume 2 did not contribute prediction. average cost more than $49,000 per survivor $51,000 nonsurvivor. Conclusion Defining medical futility based solely currently is unjustified. search early indicators must continue.