000125956 001__ 125956
000125956 005__ 20241125101134.0
000125956 0247_ $$2doi$$a10.3389/fpubh.2023.1133191
000125956 0248_ $$2sideral$$a133560
000125956 037__ $$aART-2023-133560
000125956 041__ $$aeng
000125956 100__ $$aJuárez-Vela, Raúl
000125956 245__ $$aProfile and characteristics of the adequacy of blood transfusions in Trauma Intensive Care. A cross sectional multicenter study
000125956 260__ $$c2023
000125956 5060_ $$aAccess copy available to the general public$$fUnrestricted
000125956 5203_ $$aIntroductionMajor trauma is one of the major health care problems facing modern society, trauma systems require careful planning to achieve an ideal level of coverage for the population. The Patient Blood Management Program is an integrated and global strategy to provide patient care that aims to assess and address, when possible, the etiology of blood abnormalities rather than transfuse without treating the underlying cause. We aimed to describe the factors that are associated with the clinical decision to transfuse polytraumatized patients admitted to the Intensive Care Unit (ICU).MethodWe performed a cross sectional multicenter study of patients admitted to ICUs for trauma in 14 Spanish hospitals from September 2020 to December 2021.ResultsA total of 69 patients were treated in the emergency room due to polytrauma, 46% of them were considered serious in the initial triage. Thirty were caused by a fall from considerable height (43.47%), followed by 39 patients admitted due to trac accidents (56.52%). The location of the trauma was mainly cranioencephalic, followed by thoracic trauma. Of the 69 patients, 25 received a blood transfusion during their ICU stay (36.23%).DiscussionNo significant differences were observed between transfused and non-transfused patients, except for the severity scales, where transfused patients have a higher score on all the scales assessed in the ICU except for the Revised Trauma Score. As we can see, the incidence of kidney failure was also different between the groups analyzed, reaching 44.00% in transfused patients and 13.64% in the group of patients without blood transfusion, p = 0.005. In this sense, 92.00% of the transfusions performed were inadequate according to the criteria of Hb in blood prior to the decision to transfuse (Hb < 9). Our data support the need to consider clinical practice guidelines regarding blood transfusion and its practices.
000125956 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000125956 590__ $$a3.0$$b2023
000125956 592__ $$a0.895$$b2023
000125956 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b115 / 408 = 0.282$$c2023$$dQ2$$eT1
000125956 593__ $$aPublic Health, Environmental and Occupational Health$$c2023$$dQ1
000125956 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b115 / 408 = 0.282$$c2023$$dQ2$$eT1
000125956 594__ $$a4.8$$b2023
000125956 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000125956 700__ $$aQuintana-Diaz, Manuel
000125956 700__ $$aRodríguez-Calvo, Antonio
000125956 700__ $$aSantos-Sánchez, José Ángel
000125956 700__ $$aGero-Escapa, María
000125956 700__ $$aGallego-Curto, Elena
000125956 700__ $$0(orcid)0000-0003-0083-5940$$aSatústegui-Dordá, Pedro José$$uUniversidad de Zaragoza
000125956 700__ $$aSánchez-González, Juan Luis
000125956 700__ $$aJericó, Carlos
000125956 700__ $$aRuiz de Viñaspre-Hernández, Regina
000125956 700__ $$aGil-Fernández, Guadalupe
000125956 700__ $$aGarcía-Erce, José Antonio
000125956 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000125956 773__ $$g11 (2023), [9 pp]1133191$$pFront. public health.$$tFrontiers in public health$$x2296-2565
000125956 8564_ $$s193353$$uhttps://zaguan.unizar.es/record/125956/files/texto_completo.pdf$$yVersión publicada
000125956 8564_ $$s2341004$$uhttps://zaguan.unizar.es/record/125956/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000125956 909CO $$ooai:zaguan.unizar.es:125956$$particulos$$pdriver
000125956 951__ $$a2024-11-22-11:59:54
000125956 980__ $$aARTICLE