ArticleJournal of clinical medicine research2016
A Derivation and Validation Study of an Early Blood Transfusion Needs Score for Severe Trauma Patients.
Article in Journal of clinical medicine research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 27 citations in OpenAlex.
- Prehospital blood transfusion-experience from a specialized prehospital response vehicle-a retrospective cohort study.Frontiers in medicine · 2025Article
- Trauma-induced disturbances in ionized calcium levels correlate parabolically with coagulopathy, transfusion, and mortality: a multicentre cohort analysis from the TraumaRegister DGUCritical care (London, England) · 2023Article
- Prehospital predictors of the need for transfusion in patients with major trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Observational
- Comparison of predictive blood transfusion scoring systems in trauma patients and application to pre-hospital medicine.Proceedings (Baylor University. Medical Center) · 2022Article
- Massive transfusion prediction in patients with multiple trauma by decision tree: a retrospective analysis.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2021Article
- Pre-hospital blood transfusion - an ESA survey of European practice.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- [Approaches to pre-hospital bleeding management : Current overview on civilian emergency medicine].Der Anaesthesist · 2017Review
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is no existing adequate blood transfusion needs determination tool that Emergency Medical Services (EMS) personnel can use for prehospital blood transfusion initiation. In this study, a simple and pragmatic prehospital blood transfusion needs scoring system was derived and validated.
methodsLocal trauma registry data were reviewed retrospectively from 2004 through 2013. Patients were randomly assigned to derivation and validation cohorts. Multivariate logistic regression was used to identify the independent approachable risks associated with early blood transfusion needs in the derivation cohort in which a scoring system was derived. Sensitivity, specificity, and area under the receiver operational characteristic (AUC) were calculated and compared using both the derivation and validation data.
resultsA total of 24,303 patients were included with 12,151 patients in the derivation and 12,152 patients in the validation cohorts. Age, penetrating injury, heart rate, systolic blood pressure, and Glasgow coma scale (GCS) were risks predictive of early blood transfusion needs. An early blood transfusion needs score was derived. A score > 5 indicated risk of early blood transfusion need with a sensitivity of 83% and a specificity of 80%. A sensitivity of 82% and a specificity of 80% were also found in the validation study and their AUC showed no statistically significant difference (AUC of the derivation = 0.87 versus AUC of the validation = 0.86, P > 0.05).
conclusionsAn early blood transfusion scoring system was derived and internally validated to predict severe trauma patients requiring blood transfusion during prehospital or initial emergency department resuscitation.
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