TY - JOUR T1 - Massive transfusion predictive scores in trauma. Experience of a transfusion registry JO - Medicina Intensiva (English Edition) T2 - AU - Chico-Fernández,M. AU - García-Fuentes,C. AU - Alonso-Fernández,M.A. AU - Toral-Vázquez,D. AU - Bermejo-Aznarez,S. AU - Alted-López,E. SN - 21735727 M3 - 10.1016/j.medine.2012.01.003 DO - 10.1016/j.medine.2012.01.003 UR - https://www.medintensiva.org/en-massive-transfusion-predictive-scores-in-articulo-S2173572712000148 AB - ObjectivesOur purpose is to validate previously described massive transfusion (MT) scoring in our Transfusion Trauma Registry. DesignA retrospective cohort of adult trauma patients. SettingTrauma and Emergency Intensive Care Unit of a tertiary hospital. PatientsPatients with severe trauma (injury severity score>15) admitted from October 2006 to July 2009. InterventionsNone. VariablesThe following MT scoring and cutoff points (CP) were evaluated: Trauma-Associated Severe Hemorrhage (TASH) CP: ≥16 and ≥18; Assessment Blood Consumption (ABC) CP: ≥2 and Emergency Transfusion Score (ETS) CP: ≥3, ≥4, ≥6. MT was defined as the transfusion of 10units or more of packed red blood cells in the first 24h. We studied the sensitivity (S), specificity (SP), and positive and negative predictive values (PPV, NPV), the positive and negative likelihood ratios (LHR+, LHR−) and area under the receiver operating characteristic curve (ROC). ResultsA total of 568 patients were available for analysis; 77.6% were men, with a mean age of 41.16±18 years and an ISS of 30±13. 93.8% with blunt trauma. The overall MT rate was 18.8%. The best S was obtained with ETS≥3 and best SP was obtained with TASH≥18. ROC for different scores was: ABC: 0.779, ETS: 0. 784, TASH: 0.889. ConclusionThese scales can be useful for characterizing the TM population, for excluding low-risk populations, and for attempting to be objective in hematological damage control and in supporting clinical decisions, based on fe1w and easily obtainable data. ER -