AI Article Synopsis
- Pre-hospital blood transfusion (PHBT) is becoming more common for trauma patients, but deciding when to use it is challenging due to limited onsite diagnostic tools.
- A study analyzed data from 385 trauma patients to compare different scoring systems to assess their effectiveness in identifying those needing PHBT.
- The findings indicated that the shock index and pulse pressure scoring systems are particularly reliable predictors for determining PHBT requirements in trauma situations.
Article Abstract
Background: Pre-hospital blood transfusion (PHBT) is a safe and gradually expanding procedure applied to trauma patients. A proper decision to activate PHBT with the presently limited diagnostic options at the site of an incident poses a challenge for pre-hospital crews. The purpose of this study was to compare the selected scoring systems and to determine whether they can be used as valid tools in identifying patients with PHBT requirements.
Methods: A retrospective single-center study was conducted between June 2018 and December 2020. Overall, 385 patients (aged [median; IQR]: 44; 24-60; 73% males) were included in this study. The values of five selected scoring systems were calculated in all patients. To determine the accuracy of each score for the prediction of PHBT, the Receiver Operating Characteristic (ROC) analysis was used and to measure the association, the odds ratio with 95% confidence intervals was counted (Fig. 1).
Results: Regarding the proper indication of PHBT, shock index (SI) and pulse pressure (PP) revealed the highest value of AUC and sensitivity/specificity ratio (SI: AUC 0.88; 95% CI 0.82-0.93; PP: AUC 0.85 with 95% CI 0.79-0.91).
Conclusion: Shock index and pulse pressure are suitable tools for predicting PHBT in trauma patients.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9835327 | PMC |
| http://dx.doi.org/10.1186/s12873-022-00770-x | DOI Listing |
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