Authors: Chrysanthos Georgiou Kenji Inaba Joseph DuBose Pedro G R Teixeira Pantelis Hadjizacharia Ali Salim Carlos Brown Peter Rhee Demetrios Demetriades
Publish Date: 2009/07/09
Volume: 35, Issue: 4, Pages: 383-
Abstract
Over the study period 143 JWs were identified Among these 154 22/143 overall and 323 10/31 requiring surgical intensive care unit SICU admission accepted transfusion Overall 566 of JWs 81/143 required operation and 217 31/143 were admitted to the SICU with a complication rate of 42 6/143 and a mortality of 14 2/143 One patient of the 31 patients that were admitted to the SICU received 10 ml of blood with subsequent discontinuation of the transfusion and was excluded from analysis Of the 30 JWs admitted to the SICU 20 667 did not receive transfusion and demonstrated mean admission and nadir hemoglobin Hb levels of 127 ±25 and 91 ±30 mg/dl respectively Ten patients accepted transfusion This group had longer mean SICU stays 233 vs 55 days but similar mortality 10 1/10 vs 5 1/20 compared to nontransfused counterparts Only one complication 1/20 5 was observed in the JWs who were not transfused compared to a 40 4/10 complication rate in those accepting transfusionAlthough our experience was limited we found no significant difference in the mortality or morbidity between JW patients who received or abstained from transfusion following major trauma We should keep in mind that the population was small in order to extract safe conclusions regarding whether we should transfuse or not transfuse trauma patients We can however see interesting insights on the value of trauma resuscitation
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