title: Increased mortality in adult patients with trauma transfused with blood components compared with whole blood.
abstract: Hemorrhage is a preventable cause of death among patients with trauma, and management often includes transfusion, either whole blood or a combination of blood components (packed red blood cells, platelets, fresh frozen plasma). We used the 2009 National Trauma Data Bank data set to evaluate the relationship between transfusion type and mortality in adult patients with major trauma (n = 1745). Logistic regression analysis identified 3 independent predictors of mortality: Injury Severity Score, emergency medical system transfer time, and type of blood transfusion, whole blood or components. Transfusion of whole blood was associated with reduced mortality; thus, it may provide superior survival outcomes in this population.
authors.affiliation: RICH Heart Program, University of Kentucky College of Nursing (Dr Frazier), University of Kentucky College of Nursing (Ms Jones), Lexington.
authors.forename: Allison R
authors.initials: AR
authors.lastname: Jones
authors.forename: Susan K
authors.initials: SK
authors.lastname: Frazier
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D016913:Blood Component Transfusion / Q000009:adverse effects* / Q000379:methods; D001803:Blood Transfusion / Q000379:methods; D002423:Cause of Death; D015331:Cohort Studies; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000175:diagnosis / Q000401:mortality* / Q000628:therapy*; D017052:Hospital Mortality / Q000639:trends*; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D016015:Logistic Models; D008297:Male; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D018570:Risk Assessment; D012737:Sex Factors; D013997:Time Factors; D065227:Transfusion Reaction; D014193:Trauma Centers; D014947:Wounds and Injuries / Q000175:diagnosis / Q000401:mortality / Q000628:therapy; D055815:Young Adult