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About:
Use of Leukoreduced Blood Does Not Reduce Infection, Organ Failure, or Mortality Following Trauma
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wasabi.inria.fr
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research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Use of Leukoreduced Blood Does Not Reduce Infection, Organ Failure, or Mortality Following Trauma
Creator
Englehart, Michael
Gee, Arvin
Luem, Nick
Schreiber, Martin
Underwood, Samantha
Wiesberg, Tracy
Gordon, A
Ae, Cho
Ae, Jerome
Ae, Melanie
Ae, Riha
Boshkov, K
David, Ae
Lynn, A
Source
PMC
abstract
BACKGROUND: Leukoreduced (LR) blood has been demonstrated to reduce morbidity and mortality in high-risk surgical patients, but not in trauma patients. The objective of the present study was to determine the effect of LR blood on morbidity and mortality. We hypothesized that the use of LR blood does not improve outcome in trauma patients. METHODS: This study was a retrospective cohort analysis of trauma patients transfused at a level 1 Trauma Center from 2001 to 2004. Between 2002 and 2003, LR blood was transfused. Prior to that time and subsequent to it, non-leukoreduced (NLR) blood was transfused. This created two historical comparison groups. Data collected included patient demographics, units of blood transfused, intensive care unit (ICU) and hospital days, ventilator days, injury severity score (ISS), mortality, presence of acute respiratory distress syndrome (ARDS), and infectious complications. A multiple organ dysfunction syndrome (MODS) score was calculated. RESULTS: The distribution of patients was as follows: 284 patients received only NLR blood, 153 received only LR blood, and 58 received at least one unit of each. The mean ISS was similar (NLR: 26, LR: 24; P > 0.1). No differences were seen between groups in units transfused (6.2 vs. 5.5), number of ICU days (8.2 vs. 9.0), number of hospital days (16.9 vs. 18.6), number of ventilator days (6.1 vs. 5.7), incidence of ARDS (8.3% vs. 8.5%), MODS score (5.5 vs. 5.9), mortality rate (15.1% vs. 15.7%), or infection rate (36% vs. 30%) (P > 0.1). CONCLUSIONS: This study represents the largest series comparing trauma patients who received either LR or standard blood transfusions. The use of LR blood does not improve outcome in trauma patients.
has issue date
2009-05-19
(
xsd:dateTime
)
bibo:doi
10.1007/s00268-009-0076-5
bibo:pmid
19452207
has license
no-cc
sha1sum (hex)
66a5a46b2fc86476cb747cac80fa222e5632cff1
schema:url
https://doi.org/10.1007/s00268-009-0076-5
resource representing a document's title
Use of Leukoreduced Blood Does Not Reduce Infection, Organ Failure, or Mortality Following Trauma
has PubMed Central identifier
PMC7101844
has PubMed identifier
19452207
schema:publication
World J Surg
resource representing a document's body
covid:66a5a46b2fc86476cb747cac80fa222e5632cff1#body_text
is
schema:about
of
named entity 'BLOOD'
named entity 'MORBIDITY AND MORTALITY'
named entity 'BACKGROUND'
named entity 'morbidity'
named entity 'patients'
named entity 'trauma patients'
named entity 'morbidity'
named entity 'high-risk'
named entity 'Organ Failure'
named entity 'infection'
named entity 'infection'
named entity 'infection'
named entity 'anergy'
named entity 'retrospective cohort'
named entity 'Fisher's exact test'
named entity 'NLR'
named entity 'rash'
named entity 'Oregon Health & Science University'
named entity 'type of blood'
named entity 'hemolytic'
named entity 'outcome measure'
named entity '5.5'
named entity 'bacteremia'
named entity 'mixed group'
named entity 'allogeneic'
named entity 'blood transfusion'
named entity 'ICU'
named entity 'leukocytes'
named entity 'morbidity'
named entity 'blood transfusion'
named entity 'data set'
named entity 'trauma patients'
named entity 'infection'
named entity 'blood bank'
named entity 'trauma patients'
named entity 'American Red Cross'
named entity 'leukoreduction'
named entity 'mixed group'
named entity 'infection'
named entity 'SPSS'
named entity 'HIV'
named entity '13.0'
named entity 'Chicago'
named entity 'infection'
named entity 'MODS'
named entity 'ICU'
named entity 'right-sided heart failure'
named entity 'trauma patients'
named entity 'Mann-Whitney'
named entity 'hepatitis'
named entity 'MODS'
named entity 'NLR'
named entity 'outcome measure'
named entity 'mixed group'
named entity 'Mixed group'
named entity 'cryoprecipitate'
named entity 'trauma patients'
named entity 'PRBC'
named entity 'MODS'
named entity 'ANOVA'
named entity 'transfusion reactions'
named entity 'catheter'
named entity 'transfusion reactions'
named entity 'analysis of variance'
named entity 'Febrile'
named entity 'leukoreduction'
named entity 'blood transfusion'
named entity 'UTI'
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