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Analysis of anatomical localization and severity of injury in patients with blood transfusion in urban terrain hospital.
Ulus Travma Acil Cerrahi Derg. 2020 Oct; 26(6):937-942.UT

Abstract

BACKGROUND

Blood loss is the most significant cause of mortality in trauma cases. In injured patients, rapid evaluation and appropriate transfusion is lifesaving. The present study aims to analyze the blood/blood products requirement based on available data and find any associations between the transfusion requirements and injury severity scores (ISS) and anatomical locations of injuries of transfused patients.

METHODS

Between 30 July 2014 and 30 July 2016, casualties admitted to the urban terrain hospital (UTH) and transfused at least one unit of red blood cell (RBC) were included. UTH Transfusion Record Notebook data included patients' age, mechanism and anatomical location(s) of the injury, admission hemoglobin (g/dL) level, injury severity score (ISS), transfused units of erythrocyte suspension (ES), warm fresh whole blood (WFWB), fresh frozen plasma (FFP), and massive transfusion (MT) rate.

RESULTS

In this study, all patients were male; the mean age was 28.7±7.8 years. Overall, 59 of 579 (10%) patients were transfused 458 units of RBC (ES+WFWB). Torso (thorax ± abdomen) injury was present in 61% of the casualties who underwent transfusion, and 93% of these patients underwent massive transfusion. In 71% of patients, the ISS was >15, and there was statistically significant high blood/blood products use and MT rate in these patients, respectively (p=0.021, p=0.006).

CONCLUSION

Anatomical location of injuries and ISS are valuable in the rapid determining of MT and survival rates of casualties. Especially in torso injuries, bleeding control is difficult and transfusion requirement and mortality rates are high. This study presents the trauma of urban terrain conflict-related transfusion data from a UTH.

Authors+Show Affiliations

Department of Anesthesia and Reanimation, Health Sciences University, Gülhane Training and Research Hospital, Ankara-Turkey.Department of General Surgery, Health Sciences University, Gülhane Training and Research Hospital, Ankara-Turkey.Department of Biochemistry, Health Sciences University, Dışkapı Training and Research Hospital, Ankara-Turkey.Department of Emergency Medicine, Kütahya Health Sciences University, Kütahya-Turkey.Department of Head and Neck Surgery, Health Sciences University, Gülhane Training and Research Hospital, Ankara-Turkey.Department of Orthopedics and Traumatology, Katip Çelebi University Atatürk Training and Research Hospital, İzmir-Turkey.Department of General Surgery, Health Sciences University, Gülhane Training and Research Hospital, Ankara-Turkey.Department of Orthopedics and Traumatology, Anadolu Medical Center Hospital, İstanbul-Turkey.Department of Anesthesia and Reanimation, Health Sciences University, Gülhane Training and Research Hospital, Ankara-Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33107973

Citation

Eksert, Sami, et al. "Analysis of Anatomical Localization and Severity of Injury in Patients With Blood Transfusion in Urban Terrain Hospital." Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES, vol. 26, no. 6, 2020, pp. 937-942.
Eksert S, Ünlü A, Aydın FN, et al. Analysis of anatomical localization and severity of injury in patients with blood transfusion in urban terrain hospital. Ulus Travma Acil Cerrahi Derg. 2020;26(6):937-942.
Eksert, S., Ünlü, A., Aydın, F. N., Kaya, M., Aşık, M. B., Kantemir, A., Öztaş, M., Keklikçi, K., & Sir, E. (2020). Analysis of anatomical localization and severity of injury in patients with blood transfusion in urban terrain hospital. Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES, 26(6), 937-942. https://doi.org/10.14744/tjtes.2020.94789
Eksert S, et al. Analysis of Anatomical Localization and Severity of Injury in Patients With Blood Transfusion in Urban Terrain Hospital. Ulus Travma Acil Cerrahi Derg. 2020;26(6):937-942. PubMed PMID: 33107973.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Analysis of anatomical localization and severity of injury in patients with blood transfusion in urban terrain hospital. AU - Eksert,Sami, AU - Ünlü,Aytekin, AU - Aydın,Fevzi Nuri, AU - Kaya,Murtaza, AU - Aşık,Mehmet Burak, AU - Kantemir,Ali, AU - Öztaş,Muharrem, AU - Keklikçi,Kenan, AU - Sir,Ender, PY - 2020/10/27/entrez PY - 2020/10/28/pubmed PY - 2020/10/28/medline SP - 937 EP - 942 JF - Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES JO - Ulus Travma Acil Cerrahi Derg VL - 26 IS - 6 N2 - BACKGROUND: Blood loss is the most significant cause of mortality in trauma cases. In injured patients, rapid evaluation and appropriate transfusion is lifesaving. The present study aims to analyze the blood/blood products requirement based on available data and find any associations between the transfusion requirements and injury severity scores (ISS) and anatomical locations of injuries of transfused patients. METHODS: Between 30 July 2014 and 30 July 2016, casualties admitted to the urban terrain hospital (UTH) and transfused at least one unit of red blood cell (RBC) were included. UTH Transfusion Record Notebook data included patients' age, mechanism and anatomical location(s) of the injury, admission hemoglobin (g/dL) level, injury severity score (ISS), transfused units of erythrocyte suspension (ES), warm fresh whole blood (WFWB), fresh frozen plasma (FFP), and massive transfusion (MT) rate. RESULTS: In this study, all patients were male; the mean age was 28.7±7.8 years. Overall, 59 of 579 (10%) patients were transfused 458 units of RBC (ES+WFWB). Torso (thorax ± abdomen) injury was present in 61% of the casualties who underwent transfusion, and 93% of these patients underwent massive transfusion. In 71% of patients, the ISS was >15, and there was statistically significant high blood/blood products use and MT rate in these patients, respectively (p=0.021, p=0.006). CONCLUSION: Anatomical location of injuries and ISS are valuable in the rapid determining of MT and survival rates of casualties. Especially in torso injuries, bleeding control is difficult and transfusion requirement and mortality rates are high. This study presents the trauma of urban terrain conflict-related transfusion data from a UTH. SN - 1306-696X UR - https://www.unboundmedicine.com/medline/citation/33107973/Analysis_of_anatomical_localization_and_severity_of_injury_in_patients_with_blood_transfusion_in_urban_terrain_hospital L2 - http://www.journalagent.com/pubmed/linkout.asp?ISSN=1306-696X&PMID=33107973 DB - PRIME DP - Unbound Medicine ER -
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