Jones Allison R, Frazier Susan K
RICH Heart Program, University of Kentucky College of Nursing (Dr Frazier), University of Kentucky College of Nursing (Ms Jones), Lexington.
J Trauma Nurs. 2014 Jan-Feb;21(1):22-9. doi: 10.1097/JTN.0000000000000025.
Hemorrhage is a preventable cause of death among patients with trauma, and management often includes transfusion, either whole blood or a combination of blood components (packed red blood cells, platelets, fresh frozen plasma). We used the 2009 National Trauma Data Bank data set to evaluate the relationship between transfusion type and mortality in adult patients with major trauma (n = 1745). Logistic regression analysis identified 3 independent predictors of mortality: Injury Severity Score, emergency medical system transfer time, and type of blood transfusion, whole blood or components. Transfusion of whole blood was associated with reduced mortality; thus, it may provide superior survival outcomes in this population.
出血是创伤患者中可预防的死亡原因，治疗通常包括输血，无论是全血还是血液成分组合（浓缩红细胞、血小板、新鲜冰冻血浆）。我们使用2009年国家创伤数据库数据集来评估成年严重创伤患者（n = 1745）的输血类型与死亡率之间的关系。逻辑回归分析确定了死亡率的3个独立预测因素：损伤严重程度评分、紧急医疗系统转运时间以及输血类型（全血或成分血）。输注全血与死亡率降低相关；因此，在这一人群中，输注全血可能会带来更好的生存结果。
