Mortality risk factors analysis of trauma patients with massive transfusion
Liu Yue-gao
Qian Yong-bing
Tian Rui
Jin Wei
Ge Fang-xia
Lv Hui
Lu Jian
Abstract：Objective To explore the independent risk factors related to the mortality of massive transfusion trauma patients during the 30 -day hospitalization .Methods Retrospective cohort study (analysis) was performed for the trauma patients who received massive transfusion in Shanghai General Hospital from November2006 to June 2015 , potential risk factors resulted in the death of these trauma patients were analyzed via single and multiple factors logistic regression analysis .Results Totally, 133 patients were included in the current study according to the inclusion criteria. Multivariable Logistic regression analysis screened the following independent risk factors that related to the mortality of massive transfusion patients during the 24 h hospitalization: hemoglobin (Hb, OR 66.64 , P=0.021, 95％CI 1.332～33.326), fresh frozen plasma: concentration of red blood cells ( FFP :PRBC, OR 1.934, P=0.007, 95％CI 1.195～3.131);the independent risk factors that related to the mortality of massive transfusion patients during the 30-day hospitalization were as follow:sequential organ failure assessment (SOFA, OR 7.278, P=0.004, 95％ CI 1.908～27.757), pelvic fractures (OR 3.080, P=0.039, 95％CI 1.060～8.951).Conclusion Hb, FFP:PRBC may be served as the independent risk factors that related to the mortality of massive transfusion patients during the 24 h hospitalization.SOFA, pelvic fractures may be served as the independent risk factors that related to the mortality of massive transfusion patients during the 30 d hospitalization.
Keywords：TraumaMassive transfusionMortalityRisk factors
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 57-62 )