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European Journal of Trauma and Emergency Surgery

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18-12-2023 | Shock | Original Article

The predictive value of four traumatic hemorrhage scores for early massive blood transfusion in trauma patients in the pre-hospital setting

Authors: Rui Li, Wei Han, Jiafa Lu, Xuedong Sun, Tianhong Tang

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2024

Abstract

Objectives

We aimed to explore the predictive value of four traumatic hemorrhage scores for early massive blood transfusion in trauma patients in the pre-hospital setting.

Methods

Trauma patients admitted to Shenzhen University General Hospital from July 2018 to December 2022 were included in this study. They were divided into the massive transfusion group and the non-massive transfusion group according to the blood transfusion volume within 24 h. Basic information about patients was collected. Glasgow Coma Scale (GCS), focused assessment with sonography for trauma (FAST), and injury severity score (ISS) were performed. The receiving operating characteristic (ROC) curve was used to compare the predictive value of four trauma transfusion scores for early massive blood transfusion in the pre-hospital setting.

Results

A total of 475 patients were enrolled, 43 received massive blood transfusions and 29 died within 24 h. The sensitivity and specificity of the four trauma hemorrhage scores in predicting the need for massive blood transfusions in trauma patients at their recommended cutoff points were all high. Among the four scores, the area under the ROC curve was larger for the assessment of blood consumption (ABC) score (0.864) and smaller for the trauma-induced coagulopathy clinical score (TICCS) score (0.795, p > 0.05).

Conclusions

All four pre-hospital trauma hemorrhage scores have a high predictive value in assessing massive blood transfusion in trauma patients.

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Title: The predictive value of four traumatic hemorrhage scores for early massive blood transfusion in trauma patients in the pre-hospital setting
Authors: Rui Li
Wei Han
Jiafa Lu
Xuedong Sun
Tianhong Tang
Publication date: 18-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Shock
Shock
Published in: European Journal of Trauma and Emergency Surgery / Issue 3/2024
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-023-02412-8

2024 ESC Congress

Springer Medicine

The predictive value of four traumatic hemorrhage scores for early massive blood transfusion in trauma patients in the pre-hospital setting

Abstract

Objectives

Methods

Results

Conclusions

2024 ESC Congress

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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