Narrative Review: Is There a Transfusion Cutoff Value After Which Nonsurvivability Is Inevitable in Trauma Patients Receiving Ultramassive Transfusion?
Authors' conclusion
The data examining the utility of UMT in trauma are of poor quality, and with the variability inherent in trauma patients, and the surgeons caring for them, no universally accepted cutoff for transfusion exists.
Study context
- Population
- Adult trauma patients receiving ultramassive transfusion (UMT)14 studies
- Outcome
- Effects of UMT on outcomes including survival; whether a threshold transfusion limit exists after which mortality is inevitable
Main finding
As reported in the abstract
- Data on utility of UMT in trauma of poor quality; no universally accepted transfusion cutoff exists
- Trend toward increasing mortality with increasing transfusions
Original publication
Narrative Review: Is There a Transfusion Cutoff Value After Which Nonsurvivability Is Inevitable in Trauma Patients Receiving Ultramassive Transfusion? Anesth Analg. Published 28 April 2023. doi:10. 1213/ ane. 0000000000006504
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