Any changes in recent massive transfusion practices in a tertiary level institution?

dc.contributor.author Sinha, Romi
dc.contributor.author Roxby, David John
dc.date.accessioned 2017-11-23T22:34:27Z
dc.date.available 2017-11-23T22:34:27Z
dc.date.issued 2017-06-08
dc.description This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ This author accepted manuscript is made available following 12 month embargo from date of publication (June 2017) in accordance with the publisher’s archiving policy en_US
dc.description.abstract Background & objectives A previous review of transfusion practices in our institution between 1998 and 2008 showed a trend of high ratios of red cells (RC) to plasma (FFP) and platelets to RC towards the later years of review period. The aim of the study was to further evaluate transfusion practices in the form of blood product usage and outcomes following massive transfusion (MT) Methods All adult patients with critical bleeding who received a MT (defined as ≥10 units of RC in 24 h) in 2008 and between January 2010 and December 2014 were identified. Blood and blood products transfused, in-hospital mortality, 24 h and 90-day mortality were analysed for the period 2010–2014. Blood and blood product usage, massive transfusion protocol (MTP) activation and use of ROTEM between 2008 and 2014 were compared. Results A total of 190 MT including surgical (52.1%), gastro-intestinal bleeding (25.3%), trauma (11.6%) and obstetric haemorrhage (5.8%) episodes were identified between 2010 and 2014. The overall in-hospital mortality was 26.7% with a significant difference in 24 h (p = 0.04) and 90-day mortality (p = 0.02) between diagnostic groups. Comparing 2008 (n = 33) and 2014 (n = 23), there was no significant difference in median RC, FFP and platelet units, cryoprecipitate doses and RC:FFP ratio; however there was an increase in number of patients who used cryoprecipitate (54.5% vs 87%, p = 0.01). Conclusion Aligned with haemostatic resuscitation, the trend continues in the form of increased use of plasma and higher RC:FFP transfusion ratios including an increase in number of patients receiving cryoprecipitate. en_US
dc.identifier.citation Sinha, R., & Roxby, D. (2017). Any changes in recent massive transfusion practices in a tertiary level institution? Transfusion and Apheresis Science, 56(4), 558–562. https://doi.org/10.1016/j.transci.2017.05.013 en
dc.identifier.doi https://doi.org/10.1016/j.transci.2017.05.013 en
dc.identifier.issn 1473-0502
dc.identifier.uri http://hdl.handle.net/2328/37700
dc.language.iso en
dc.publisher Elsevier en
dc.rights © 2017 Elsevier. en
dc.rights.holder Elsevier. en
dc.rights.license CC-BY-NC-ND
dc.subject Massive transfusion en
dc.subject Haemostatic resuscitation en
dc.subject Transfusion practice en
dc.title Any changes in recent massive transfusion practices in a tertiary level institution? en
dc.type Article en
local.contributor.authorOrcidLookup Sinha, Romi: https://orcid.org/0000-0001-8488-6280 en_US
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