Volume 20, Issue 4 (Winter 2023)                   bloodj 2023, 20(4): 287-297 | Back to browse issues page

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Kasraian L, Naderi N, Farahangiz M, Abdorahimzadeh H. Investigating blood and blood components transfusion rates and related factors in trauma patients. bloodj 2023; 20 (4) :287-297
URL: http://bloodjournal.ir/article-1-1503-en.html
Investigating blood and blood components transfusion rates and related factors in trauma patients
L. Kasraian , N. Naderi , M. Farahangiz , H. Abdorahimzadeh *
Keywords: Key words: Trauma, Blood Transfusion, Risk Factors, Hemorrhagic Shock
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Sci J Iran Blood Transfus Organ 2023;20 (4): 287-297
Original Article
 
Investigating blood and blood components transfusion
rates and related factors in trauma patients
‎
Kasraian L.1,2, Naderi N.3, Farahangiz M.4, Abdul Rahimzadeh H.5



1Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran
2Shiraz Blood Transfusion Center, Shiraz, Iran
3Shiraz Anesthesiology and Critical Care Research Center. Shiraz University of Medical Sciences, Shiraz, Iran
4Shiraz University of Medical Sciences, Shiraz, Iran
5Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran



Abstract
Background and Objectives
Blood transfusion is a major challenge in treating trauma patients. This study investigated blood transfusion rates and related factors in trauma patients.

Materials and Methods
This retrospective cross-sectional study analyzed 849 trauma patients admitted to a trauma center in Shiraz, Iran during 2019-2021. Blood components usage and its relation to demographics, clinical status, lab values, and ABC score were assessed. The frequency of massive blood transfusion and the average number of blood units and blood components  consumed in these patients were surveyed. Data were analyzed by T-test, Chi-squared test, and logistic regression with SPSS-23.

Results
The mean age was 38.6 ± 19.40 years and 80.9% were male. The mean blood units, platelets, and plasma used were 5.74 ± 4.57, 1.21 ± 4.87, 2.73 ± 4.32, respectively. 62.01% received massive transfusion with mean blood, platelets, and plasma units used being 8.17 ± 5.21, 3.92 ± 4.88 and 1.85 ± 6.01, respectively. Blood use correlated with systolic/diastolic pressures, blood sugar, lymphocyte count, pH, bicarbonate, base deficit, and hematocrit. 13.3% had positive ABC score and received more blood products (p < 0.001).

Conclusions 
Blood transfusion in trauma patients depends on various clinical and lab factors. Identifying high-risk patients requiring urgent blood transfusion and rapid preparation of blood products is vital for optimizing trauma patient management and outcome.

Key words: Trauma, Blood Transfusion, Risk Factors, Hemorrhagic Shock




Received:  11  Jul  2023
Accepted: 13 Nov 2023



Correspondence: Abdul Rahimzadeh H., Specialist in Surgery. Associate Professor of Trauma Research Center, Shiraz University of Medical Sciences.
P.O.Box: 15711-71948, Shiraz,  Iran. Tel: (+9871) 36234504; Fax: (+9871) 36234504
E-mail:
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Type of Study: Research | Subject: Blood transfusion medicine
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