Highlights
- •Low Volume Blood Product Transfusion Patterns And Ratios After Injury: Highlights.
- •Platelet & plasma transfusion ratios were more balanced at low volume transfusions.
- •Transfusion ratios were increasingly unbalanced in high volume transfusions.
- •The ideal transfusion ratio in low volume trauma resuscitation is unknown.
Abstract
Background
The benefit of a balanced resuscitation in low volume transfusions remains unclear
This study is aimed at characterizing blood product ratios in this cohort.
Methods
A retrospective analysis (2017–2019) of the ACS TQIP was performed to identify adult
trauma patients who received ≥1 unit of packed red blood cells (pRBCs) 4 and 24 h
after admission. Blood products received were used to calculate plasma and platelet
ratios.
Results
Plasma and platelet ratios were closer to the target 1:1 ratio for ≤4 units pRBCs.
Plasma and platelet ratios increased for those receiving ≤10 units pRBCs, demonstrating
increasingly unbalanced resuscitation. Transfusion ratios were unbalanced for those
receiving ≥5 units pRBC.
Conclusion
Transfusion ratios were closer to the desired transfusion ratio for low volume blood
product resuscitation. In those receiving ≥5 units pRBC, plasma and platelet ratios
were not balanced. The optimal transfusion ratio in low volume trauma resuscitation
is unknown.
Graphical abstract
Graphical Abstract
Keywords
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Article info
Publication history
Published online: June 25, 2022
Accepted:
June 23,
2022
Received in revised form:
June 15,
2022
Received:
May 8,
2022
Identification
Copyright
© 2022 Published by Elsevier Inc.
