Evidence map›Paper›PMID 28547532›Full record

ArticlePediatric surgery international2017

Prehospital blood transfusions in pediatric trauma and nontrauma patients: a single-center review of safety and outcomes.

Aodhnait S Fahy, Cornelius A Thiels, Stephanie F Polites, Maile Parker, Michael B Ishitani, Christopher R Moir, Kathleen Berns, James R Stubbs, Donald H Jenkins, Scott P Zietlow and 1 more

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Pre-hospital blood transfusion in non-traumatic major haemorrhage: a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Observational
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Aodhnait S FahyDepartment of General Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Cornelius A ThielsDepartment of General Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Stephanie F PolitesDepartment of General Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Maile ParkerDepartment of General Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Michael B IshitaniDivision of Pediatric Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Christopher R MoirDivision of Pediatric Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Kathleen BernsMayo Clinic Medical Transport, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
James R StubbsDivision of Laboratory Medicine, Blood Banking and Transfusion, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Donald H JenkinsDivision of Trauma, Critical Care and General Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Scott P ZietlowDivision of Trauma, Critical Care and General Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA.
Martin D ZielinskiDivision of Trauma, Critical Care and General Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55901, USA. zielinski.martin@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrehospital transfusions are a novel yet increasingly accepted intervention in the adult population as part of remote damage control resuscitation, but prehospital transfusions remain controversial in children. Our purpose was to review our pediatric prehospital transfusion experience over 12 years to describe the safety of prehospital transfusion in appropriately triaged trauma and nontrauma patients.

methodsChildren (<18 years) transfused with packed red blood cells (pRBC) or plasma during transport to a single regional academic medical center between 2002 and 2014 were identified. Admission details, in-hospital clinical course, and outcomes were analyzed.

results28 children were transfused during transport; median age was 8.9 ± 7 years and 15 patients were male (54%). Most patients required at least one additional unit of blood products during their hospitalization (79%), and/or required operative intervention (53%), endoscopy (7%), or died during their hospitalization (14%). Comparison of trauma patients (n = 16) and nontrauma patients (n = 12) revealed that nontrauma patients were younger, more anemic, more coagulopathy on admission, and required more ongoing transfusion in the hospital. Trauma patients were more likely to need operative intervention. No patient had a transfusion reaction.

conclusionRemote damage control prehospital transfusions of blood products were safe in this small group of appropriately triaged pediatric patients. Further studies are needed to determine if outcomes are improved and to devise a rigorous protocol for this prehospital intervention for critically ill pediatric patients.

Indexed as

Critical IllnessEmergency Medical ServicesAcademic Medical CentersAge FactorsAnemiaBlood Coagulation DisordersBlood TransfusionChildChild, PreschoolEndoscopyFemaleHospital MortalityHumansMaleMidwestern United StatesRetrospective StudiesBlood productsPediatricPrehospitalTransfusionTrauma

Identifiers

PMID28547532

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.