Jordan Lilienstein , Debra Lowry , Andrea Long , Krista Kaups , Alec Chan-Golston , Jessica Gallegos , Gladys Morrissey , James Davis
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引用次数: 0
Abstract
Background
Wastage concerns are a barrier to adopting whole blood (WB) therapy in trauma patients. Converting aging WB to red blood cell units (RBCs) may minimize wastage.
Methods
Blood bank records for WB and standard blood products were retrospectively reviewed at a level 1 trauma center from 8/2020 - 3/2023. Secondary analysis of outcomes for patients requiring trauma activation and receiving WB or RBC within 4 h of arrival was performed. Blood wastage and outcomes were compared.
Results
WB and type-O RBCs had comparable wastage rates (0.7 vs 0.5 %). 677 WB units were transfused, while 668 were converted and transfused as RBCs. 9 were wasted, none expired. 496 patients met secondary analysis criteria. 168 received WB. WB transfusion ratios were more balanced and outcomes were similar compared to component therapy (COMP).
Conclusion
Converting aging WB to RBCs resulted in minimal blood wastage, with similar outcomes and more balanced transfusion ratios compared to COMP.
期刊介绍：
The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.
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