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Akasaki Y, Sugimori H, Momii K, et al. A simple predictive formula for the blood requirement in patients with high-energy blunt injuries transferred within one hour post-trauma. Acute Med Surg. 2014;2(2):82-91doi: 10.1002/ams2.74.
Akasaki, Y., Sugimori, H., Momii, K., Akahoshi, T., Matsuura, S., Iwamoto, Y., Maehara, Y., & Hashizume, M. (2015). A simple predictive formula for the blood requirement in patients with high-energy blunt injuries transferred within one hour post-trauma. Acute medicine & surgery, 2(2), 82-91. https://doi.org/10.1002/ams2.74
Akasaki, Yukio, et al. "A simple predictive formula for the blood requirement in patients with high-energy blunt injuries transferred within one hour post-trauma." Acute medicine & surgery vol. 2,2 (2015): 82-91. doi: https://doi.org/10.1002/ams2.74
Akasaki Y, Sugimori H, Momii K, Akahoshi T, Matsuura S, Iwamoto Y, Maehara Y, Hashizume M. A simple predictive formula for the blood requirement in patients with high-energy blunt injuries transferred within one hour post-trauma. Acute Med Surg. 2014 Oct 20;2(2):82-91. doi: 10.1002/ams2.74. eCollection 2015 Apr. PMID: 29123699; PMCID: PMC5667202.
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Acute Med Surg. 2014 Oct 20;2(2):82-91. doi: 10.1002/ams2.74. eCollection 2015 Apr.

A simple predictive formula for the blood requirement in patients with high-energy blunt injuries transferred within one hour post-trauma.

Acute medicine & surgery

Yukio Akasaki, Hiroshi Sugimori, Kenta Momii, Tomohiko Akahoshi, Suguru Matsuura, Yukihide Iwamoto, Yoshihiko Maehara, Makoto Hashizume

Affiliations

  1. Emergency and Critical Care Center Kyushu University Hospital Fukuoka Japan.
  2. Department of Orthopaedic Surgery Graduate School of Medical Sciences Kyushu University Fukuoka Japan.

PMID: 29123699 PMCID: PMC5667202 DOI: 10.1002/ams2.74

Abstract

AIMS: To recognize patients who require massive transfusion at the early stage of blunt trauma, we retrospectively investigated patients with high-energy blunt injuries transferred within 1 h post-trauma.

METHODS: Between August 2007 and July 2011, 233 trauma patients were: (i) injured by a high-energy blunt mechanism with Injury Severity Score ≥9; (ii) not dead on arrival; (iii) older than 9 years; and (iv) at our center within 1 h after injury. The findings for 113 of those patients were analyzed, including those produced by ultrasonography, computed tomography, and arterial blood gas analyses.

RESULTS: Of 113 patients, 33 underwent massive transfusion (≥6 units) within 8 h of arrival. A logistic regression analysis revealed that an arterial lactate level ≥28 mg/dL (

CONCLUSIONS: An elevated level of arterial lactate and the flat ratio of inferior vena cava were significant predictors for identifying the patients who would require a massive transfusion in the early stage after high-energy blunt trauma.

Keywords: Arterial blood gases; flat ratio; inferior vena cava; lactate; massive transfusion; trauma

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