Citation

Jones AR, Frazier SK. J. Trauma Nurs. 2014; 21(1): 22-29.

Affiliation

RICH Heart Program, University of Kentucky College of Nursing (Dr Frazier), University of Kentucky College of Nursing (Ms Jones), Lexington.

Copyright

(Copyright © 2014, Society of Trauma Nurses)

DOI

10.1097/JTN.0000000000000025

PMID

24399315

PMCID

PMC4126240

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.

Language: en