[Repercussions of blood transfusions on postoperative complications in patients with multiple trauma].
Multiple factors connected with the trauma itself or with its therapy may cause post-operative complications in injured patients. In a previous study we have reported on a higher mortality rate in patients that received large quantities of blood. The present report concerns 223 cases of trauma by penetrating and non-penetrating injuries in which the possible influence of blood transfusions on subsequent morbidity was assessed. It was verified that transfused patients exhibited more infections and general complications, as well as a higher mortality rate than controls. A progressive effect related to the number of units of blood administered could be demonstrated. The most unfavorable outcomes correspond to the transfusions of more than 1500 ml of blood.
Costa
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Colombo
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CA
Faintuch
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J
D000007:Abdominal Injuries / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D065227:Transfusion Reaction
Repercussões das transfusões sangüíneas sobre as complicações pós-operatórias em pacientes traumatizados.