Trauma & major bleeding

Association Between Whole Blood Transfusion and Mortality Among Injured Pediatric Patients

Ann SurgPublished Retrospective cohort study

Main finding · MortalityResult — go to the resultHazard ratio 0.58 95% CI 0.34–0.98

Authors' conclusion

The use of WB was associated with improved survival among injured pediatric patients requiring immediate transfusion.

Study context

Population
Injured children aged ≤16 years with immediate blood transfusion within 4 hours of hospital arrival, American College of Surgeons Trauma Quality Improvement Program (ACS-TQIP) 2020–2021
Participants
2,729 children · 318 matched pairs
Exposure
Whole blood transfusion vs no whole blood (WB)
  • WBn = 319
Outcome
Survival (mortality)
Follow-up
24 hours and 30 days
Methodological details1:1 propensity score-matched, registry (ACS-TQIP)
  • 1:1 propensity score-matched
  • Registry (ACS-TQIP)

Main finding

Mortality · 24 hours

Hazard ratio

0.58

95% CI 0.34–0.98

P = 0.042

WB vs No WB
HR 0.58 (95% CI 0.34–0.98); P = 0.042

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Mortality · 30 daysPropensity score-matched cohort0.65 (0.46–0.90)P = 0.011

Original publication

Association Between Whole Blood Transfusion and Mortality Among Injured Pediatric Patients. Ann Surg. Published 6 November 2023. doi:10.1097/sla.0000000000006150

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