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Colegio de Medicina Interna de México.

2023, Number 3

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Med Int Mex 2023; 39 (3)

Clinical characterization blood products use in polytraumatized patients

Martínez-Sánchez LM, Zuluaga-Gómez M, Estrada-Atehortua AF, Roldan-Tabares MD, Hernández-Martínez A, Herrera-Almanza L, Thowinson-Hernández MC, Coronado-Magalhães G, Calle-Estrada MC, Mazo-Betancur L

Language: Spanish
References: 22
Page: 454-463
PDF size: 224.24 Kb.


ABSTRACT

Objective: To clinically characterize the use of blood products in polytraumatized patients treated in the emergency department of a high complexity hospital in Medellin, Colombia.
Materials and Methods: A descriptive, observational study, which included adult polytraumatized patients who required transfusion of blood products from 2010 to 2017. The sampling was non-probabilistic of consecutive cases, the source of information was secondary through the review of medical records and data analysis was performed through the SPSS version 24 program.
Results: A total of 157 patients were included, with a median age of 29 years, 82.1% were male, the predominant mechanism of trauma was motorcycle traffic accident (41.4%), 66.9% of units were administered in the hospitalization service, out of 98.7% of patients who required red blood cells, 43.9% did not present any outcome after the care received and 2.6% of the patients died 24 hours after admission to the emergency department.
Conclusions: Transfusion of these components did not represent a major risk for the life of the patients nor was it a cause of serious outcomes. Nonetheless, the importance of blood products in the context of polytraumatized patients is noteworthy, especially red blood cells and their timely administration.


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