Autotransfusion in emergent operative trauma resuscitation

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
X A CalisteJ A Sava

Abstract

Autotransfusion of red cells is common in many surgical specialties. However, this technique is not uniformly used in abdominal trauma. The purpose of this paper is to study the outcomes of patients who were autotransfused during emergency trauma operations in which they sustained full-thickness hollow viscus injury (HVI). A total of 179 patients in period 1999-2008 with penetrating and blunt abdominal trauma requiring intraoperative blood transfusion were evaluated. Recipients of autotransfusion and banked blood (autotransfused group) were compared with recipients of banked blood products only (control group). The t-test, Chi-squared, and Fisher's exact test were used to evaluate the data. Multivariate regression analysis evaluated the primary outcomes, survival and bloodstream infection (BSI). Of the 179 patients, 108 controls and 71 autotransfused patients were evaluated. The results showed no statistically significant difference between the control and autotransfusion groups regarding age, injury pattern/severity [Injury Severity Score (ISS)], length of stay, postoperative international normalized ratio (INR), and volume of banked blood products. Both groups were also proportional with colon injury. The estimated operative ...Continue Reading

References

Apr 1, 1978·JACEP·J L GloverR Plawecki
May 1, 1992·The Journal of Trauma·H M HorstB A Bivins
Sep 1, 1974·Annals of Surgery·S E DuncanW Rogers
Mar 1, 1983·Annals of Emergency Medicine·G P Young, T B Purcell
Jun 22, 1984·JAMA : the Journal of the American Medical Association·L M Jacobs, J W Hsieh
May 11, 1983·CCQ. Critical Care Quarterly·J L Glover, T A Broadie
Jan 17, 2002·Transfusion and Apheresis Science : Official Journal of the World Apheresis Association : Official Journal of the European Society for Haemapheresis·Y SugaiA Fuse
Jun 1, 2006·World Journal of Surgery·Douglas M BowleyKenneth D Boffard
Jan 1, 1818·Medico-chirurgical Transactions·J Blundell

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Citations

Mar 26, 2015·The Journal of Trauma and Acute Care Surgery·Peter RheeBellal Joseph
Jun 23, 2019·Journal of Veterinary Emergency and Critical Care·Rita D K Ghosal, Alexandra Bos

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