ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2026
Identifying Transfusion Triggers in Trauma Patients and Developing the Vellore Trauma Transfusion Score: A Retrospective Cohort Study.
Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and aims: Hemorrhage remains a leading cause of preventable mortality in trauma. Existing massive transfusion (MT) prediction scores are often context-specific and limited by resource availability. This study aimed to identify early transfusion predictors in a high-volume civilian trauma center and develop a simplified, locally applicable scoring system. Patients and methods: This retrospective cohort study analyzed trauma registry data from a level 1 trauma center over 2 years (July 2022-July 2024). All trauma patients with an Injury Severity Score (ISS) ≥16 were included. Massive transfusion was defined using standard composite criteria. Clinical variables, imaging findings, and laboratory parameters were analyzed using logistic regression. Significant predictors were incorporated into a regression coefficient-based scoring system, and diagnostic performance was assessed using receiver operating characteristic (ROC) analysis. Results: Among 687 patients, 36 (5.2%) required MT. On multivariable analysis, systolic blood pressure (SBP) ≤90 mm Hg [odds ratio (OR) = 8.15], heart rate (HR) >120 bpm (OR = 4.27), packed cell volume (PCV) ≤30 (OR = 3.76), base deficit (BD) ≥6 mmol/L (OR = 4.15), lactate ≥5 mmol/L (OR = 2.62), and mean arterial pressure (MAP) <70 mm Hg (OR = 8.81) were significant predictors (all Conclusion: A concise combination of physiological and biochemical parameters can reliably predict the need for MT. The proposed trauma transfusion trigger offers a pragmatic, context-sensitive tool requiring prospective validation. How to cite this article: Das S, Jonish AP, Grace R, Chellaiya GK, Daniel D, Mathuram SR,
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.