The FASILA Score versus Shock Index and ABC Score to Predict Need for Massive Blood Transfusion in Patients with Abdominal Trauma

Background : Trauma has been demonstrated to be responsible for a considerable number of emergency visits worldwide. Abdominal trauma participates significantly in the morbimortality of trauma cases. Of note, there were several studies that evaluated the role of Shock Index (SI) in the context of abdominal traumas. However, fewer researches only that emphasized on the role of FASILA score. Objective : To compare these three scoring systems (FASILA Score versus Shock Index (SI) and Assessment of Blood Consumption (ABC Score)) to detect which is a better predictor for MTP activation in cases with abdominal traumas. Patients and Methods : This was an observational prospective study conducted on a total of 54 patients admitted to the Emergency Department (ED) with abdominal trauma. The FASILA score was evaluated in terms of cases with abdominal injuries, for the initial prediction of massive blood transfusion (MBT) together with being an acronym for FAST+SI+lactate. Results : The median SI, ABC and FASILA score were 1.4, 3 and 6 respectively. Cases with MBT were accompanied by a considerable increase in FASILA score compared to MBT free ones, while SI and ABC demonstrated insignificant differences between both groups (P>0.05). ABC could be used as a predictor for MBT with a higher sensitivity (Sn) and lower specificity (Sp). FASILA could be used as a significant predictor for MBT with higher Sn and Sp. Conclusion : The FASILA score may be used as a promising feasible and simple modality, which predicts the need for BT and MTP activation, in patients with abdominal trauma