Trauma & major bleeding

Association Between Blood Donor Demographics and Post-injury Multiple Organ Failure after Polytrauma

Ann SurgPublished Prospective cohort study

Authors' conclusion

Blood components donor sex, but not age, may be an important factor associated with post-injury MOF.

Study context

Population
Critically injured transfused polytrauma patients4,379 donated units
Participants
229 participants
Exposure
Blood donor demographics and recipient post-injury multiple organ failure (MOF)
Outcome
Post-injury multiple organ failure (MOF)
Methodological detailslog-linear analysis accounting for correlated data, prospective MOF database
  • Log-linear analysis accounting for correlated data
  • Prospective MOF database

Main finding

As reported in the abstract

MOF by donor sex and age
Donor-recipient sex mismatched RBC transfusions more likely associated with MOF
P = 0.0012
FFP recipients more likely to experience MOF with male (vs female) component
P = 0.0014
Cryoprecipitate recipients more likely to experience MOF with male (vs female) component
<0.0001

Observational data: associations, not effects.

Original publication

Association Between Blood Donor Demographics and Post-injury Multiple Organ Failure after Polytrauma. Ann Surg. Published 22 January 2021. doi:10.1097/sla.0000000000004754

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