Blood transfusion trigger in burns: a four-year retrospective analysis of blood transfusions in eleven burn centers in Ukraine.
One focus of improvement of burn care in Ukraine was the management of blood loss and blood transfusions in burn patients. The aim of this project was to analyze blood transfusion triggers in burn patients and outcomes at eleven major burn centers in Ukraine. This multicenter retrospective study reviewed four years of data on blood-transfused burn patients admitted to eleven major burn centers in Ukraine. Data analyzed included: demographics, characteristics of the burns, complications of burn injury, triggers for blood transfusions and outcomes. A total of 928 burn patients who received 2,693 blood transfusions from 11 major burn centers over a four-year period, were studied. Regardless of the total body surface area (TBSA) that was burned, blood transfusions were administered with a hemoglobin (Hb) trigger value of around 9 g/dL. Roughly one third (30.5%) of all transfusions were given in patients with a TBSA ≤ 10%. We demonstrated that Ukrainian doctors were using the same Hb trigger for blood transfusions for all Ukrainian burn patients, which suggested a need to change blood transfusion policy.
Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
G
G
Fuzaylov
Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
R
R
Anderson
Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
J
J
Lee
Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
S
S
Slesarenko
Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
V
V
Nagaychuk
Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
T
T
Grigorieva
Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
G
G
Kozinec
Ukraine; blood transfusion; burn injury