The Use of Whole Blood Transfusion During Non-Traumatic Resuscitation
| Autor: | Steven G. Schauer, Craig D Nowadly, James A. Bynum, Susannah E. Nicholson, Kennedy Mdaki, Andrew D Fisher, Ronnie Hill, Matthew A. Borgman |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Resuscitation business.industry Public Health Environmental and Occupational Health Electronic medical record Hemorrhage 030208 emergency & critical care medicine Retrospective cohort study General Medicine 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Non traumatic Emergency medicine Humans Wounds and Injuries Medicine Blood Transfusion Female Outcome data business Retrospective Studies Whole blood |
| Zdroj: | Military Medicine. 187:e821-e825 |
| ISSN: | 1930-613X 0026-4075 |
| Popis: | Background Evidence from military populations showed that resuscitation using whole blood (WB), as opposed to component therapies, may provide additional survival benefits to traumatically injured patients. However, there is a paucity of data available for the use of WB in uninjured patients requiring transfusion. We sought to describe the use of WB in non-trauma patients at Brooke Army Medical Center (BAMC). Materials and Methods Between January and December 2019, the BAMC ClinComp electronic medical record system was reviewed for all patients admitted to the hospital who received at least one unit of WB during this time period. Patients were sorted based on their primary admission diagnosis. Patients with a primary trauma-based admission were excluded. Results One hundred patients were identified who received at least one unit of WB with a primary non-trauma admission diagnosis. Patients, on average, received 1,064 mL (750–2,458 mL) of WB but received higher volumes of component therapy. Obstetric/gynecologic (OBGYN) indications represented the largest percentage of non-trauma patients who received WB (23%), followed by hematologic/oncologic indications (16%). Conclusion In this retrospective study, WB was most commonly used for OBGYN-associated bleeding. As WB becomes more widespread across the USA for use in traumatically injured patients, it is likely that WB will be more commonly used for non-trauma patients. More outcome data are required to safely expand the indications for WB use beyond trauma. |
| Databáze: | OpenAIRE |
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