Review of Existing Scoring Systems for Massive Blood Transfusion in Trauma Patients: Where Do We Stand?

Ayman El-Menyar, Ahammed Mekkodathil, Husham Abdelrahman, Rifat - Latifi, Sagar Galwankar, Hassan Al-Thani, Sandro Rizoli

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

Uncontrolled bleeding is the main cause of the potential preventable death in trauma patients. Accordingly, we reviewed all the existing scores for massive transfusion posttraumatic hemorrhage and summarized their characteristics, thus making it easier for the reader to have a global view of these scores - how they were created, their accuracy and to which population they apply.Methods:A narrative review with a systematic search method to retrieve the journal articles on the predictive scores or models for massive transfusion was carried out. A literature search using PubMed, SCOPUS, and Google scholar was performed using relevant keywords in different combinations. The keywords used were "massive transfusion," "score," "model," "trauma," and "hemorrhage" in different combinations. The search was limited for full-text articles published in English language, human species and for the duration from January 1, 1998 to November 30, 2018.Results:The database search yielded 295 articles. The search was then restricted to the inclusion criteria which retrieved 241 articles. Duplicates were removed and full-texts were assessed for the eligibility to include in the review which resulted in inclusion of 24 articles. These articles identified 24 scoring systems including modified or revised scores. Different models and scores for identifying patients requiring massive transfusion in military and civilian settings have been described. Many of these scorings were complex with difficult calculation, while some were simple and easy to remember.Conclusions:The current prevailing practice that is best described as institutional or provider centered should be supplemented with score-based protocol with auditing and monitoring tools to refine it. This review summarizes the current scoring models in predicting the need for MT in civilian and military trauma. Several questions remain open; i.e., do we need to develop new score, merge scores, modify scores, or adopt existing score for certain trauma setting.

Original languageEnglish (US)
Pages (from-to)288-299
Number of pages12
JournalShock
Volume52
Issue number3
DOIs
StatePublished - Sep 1 2019

Fingerprint

Blood Transfusion
Wounds and Injuries
Hemorrhage
Practice Guidelines
PubMed
Language
Databases
Population

Keywords

  • Bleeding
  • civilian
  • injury
  • military
  • protocol
  • scoring
  • shock
  • transfusion
  • trauma

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

El-Menyar, A., Mekkodathil, A., Abdelrahman, H., Latifi, R. ., Galwankar, S., Al-Thani, H., & Rizoli, S. (2019). Review of Existing Scoring Systems for Massive Blood Transfusion in Trauma Patients: Where Do We Stand? Shock, 52(3), 288-299. https://doi.org/10.1097/SHK.0000000000001359

Review of Existing Scoring Systems for Massive Blood Transfusion in Trauma Patients : Where Do We Stand? / El-Menyar, Ayman; Mekkodathil, Ahammed; Abdelrahman, Husham; Latifi, Rifat -; Galwankar, Sagar; Al-Thani, Hassan; Rizoli, Sandro.

In: Shock, Vol. 52, No. 3, 01.09.2019, p. 288-299.

Research output: Contribution to journalReview article

El-Menyar, A, Mekkodathil, A, Abdelrahman, H, Latifi, R, Galwankar, S, Al-Thani, H & Rizoli, S 2019, 'Review of Existing Scoring Systems for Massive Blood Transfusion in Trauma Patients: Where Do We Stand?', Shock, vol. 52, no. 3, pp. 288-299. https://doi.org/10.1097/SHK.0000000000001359
El-Menyar, Ayman ; Mekkodathil, Ahammed ; Abdelrahman, Husham ; Latifi, Rifat - ; Galwankar, Sagar ; Al-Thani, Hassan ; Rizoli, Sandro. / Review of Existing Scoring Systems for Massive Blood Transfusion in Trauma Patients : Where Do We Stand?. In: Shock. 2019 ; Vol. 52, No. 3. pp. 288-299.
@article{5d7c1bef899343b8a60f07b3c61289d3,
title = "Review of Existing Scoring Systems for Massive Blood Transfusion in Trauma Patients: Where Do We Stand?",
abstract = "Uncontrolled bleeding is the main cause of the potential preventable death in trauma patients. Accordingly, we reviewed all the existing scores for massive transfusion posttraumatic hemorrhage and summarized their characteristics, thus making it easier for the reader to have a global view of these scores - how they were created, their accuracy and to which population they apply.Methods:A narrative review with a systematic search method to retrieve the journal articles on the predictive scores or models for massive transfusion was carried out. A literature search using PubMed, SCOPUS, and Google scholar was performed using relevant keywords in different combinations. The keywords used were {"}massive transfusion,{"} {"}score,{"} {"}model,{"} {"}trauma,{"} and {"}hemorrhage{"} in different combinations. The search was limited for full-text articles published in English language, human species and for the duration from January 1, 1998 to November 30, 2018.Results:The database search yielded 295 articles. The search was then restricted to the inclusion criteria which retrieved 241 articles. Duplicates were removed and full-texts were assessed for the eligibility to include in the review which resulted in inclusion of 24 articles. These articles identified 24 scoring systems including modified or revised scores. Different models and scores for identifying patients requiring massive transfusion in military and civilian settings have been described. Many of these scorings were complex with difficult calculation, while some were simple and easy to remember.Conclusions:The current prevailing practice that is best described as institutional or provider centered should be supplemented with score-based protocol with auditing and monitoring tools to refine it. This review summarizes the current scoring models in predicting the need for MT in civilian and military trauma. Several questions remain open; i.e., do we need to develop new score, merge scores, modify scores, or adopt existing score for certain trauma setting.",
keywords = "Bleeding, civilian, injury, military, protocol, scoring, shock, transfusion, trauma",
author = "Ayman El-Menyar and Ahammed Mekkodathil and Husham Abdelrahman and Latifi, {Rifat -} and Sagar Galwankar and Hassan Al-Thani and Sandro Rizoli",
year = "2019",
month = "9",
day = "1",
doi = "10.1097/SHK.0000000000001359",
language = "English (US)",
volume = "52",
pages = "288--299",
journal = "Shock",
issn = "1073-2322",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Review of Existing Scoring Systems for Massive Blood Transfusion in Trauma Patients

T2 - Where Do We Stand?

AU - El-Menyar, Ayman

AU - Mekkodathil, Ahammed

AU - Abdelrahman, Husham

AU - Latifi, Rifat -

AU - Galwankar, Sagar

AU - Al-Thani, Hassan

AU - Rizoli, Sandro

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Uncontrolled bleeding is the main cause of the potential preventable death in trauma patients. Accordingly, we reviewed all the existing scores for massive transfusion posttraumatic hemorrhage and summarized their characteristics, thus making it easier for the reader to have a global view of these scores - how they were created, their accuracy and to which population they apply.Methods:A narrative review with a systematic search method to retrieve the journal articles on the predictive scores or models for massive transfusion was carried out. A literature search using PubMed, SCOPUS, and Google scholar was performed using relevant keywords in different combinations. The keywords used were "massive transfusion," "score," "model," "trauma," and "hemorrhage" in different combinations. The search was limited for full-text articles published in English language, human species and for the duration from January 1, 1998 to November 30, 2018.Results:The database search yielded 295 articles. The search was then restricted to the inclusion criteria which retrieved 241 articles. Duplicates were removed and full-texts were assessed for the eligibility to include in the review which resulted in inclusion of 24 articles. These articles identified 24 scoring systems including modified or revised scores. Different models and scores for identifying patients requiring massive transfusion in military and civilian settings have been described. Many of these scorings were complex with difficult calculation, while some were simple and easy to remember.Conclusions:The current prevailing practice that is best described as institutional or provider centered should be supplemented with score-based protocol with auditing and monitoring tools to refine it. This review summarizes the current scoring models in predicting the need for MT in civilian and military trauma. Several questions remain open; i.e., do we need to develop new score, merge scores, modify scores, or adopt existing score for certain trauma setting.

AB - Uncontrolled bleeding is the main cause of the potential preventable death in trauma patients. Accordingly, we reviewed all the existing scores for massive transfusion posttraumatic hemorrhage and summarized their characteristics, thus making it easier for the reader to have a global view of these scores - how they were created, their accuracy and to which population they apply.Methods:A narrative review with a systematic search method to retrieve the journal articles on the predictive scores or models for massive transfusion was carried out. A literature search using PubMed, SCOPUS, and Google scholar was performed using relevant keywords in different combinations. The keywords used were "massive transfusion," "score," "model," "trauma," and "hemorrhage" in different combinations. The search was limited for full-text articles published in English language, human species and for the duration from January 1, 1998 to November 30, 2018.Results:The database search yielded 295 articles. The search was then restricted to the inclusion criteria which retrieved 241 articles. Duplicates were removed and full-texts were assessed for the eligibility to include in the review which resulted in inclusion of 24 articles. These articles identified 24 scoring systems including modified or revised scores. Different models and scores for identifying patients requiring massive transfusion in military and civilian settings have been described. Many of these scorings were complex with difficult calculation, while some were simple and easy to remember.Conclusions:The current prevailing practice that is best described as institutional or provider centered should be supplemented with score-based protocol with auditing and monitoring tools to refine it. This review summarizes the current scoring models in predicting the need for MT in civilian and military trauma. Several questions remain open; i.e., do we need to develop new score, merge scores, modify scores, or adopt existing score for certain trauma setting.

KW - Bleeding

KW - civilian

KW - injury

KW - military

KW - protocol

KW - scoring

KW - shock

KW - transfusion

KW - trauma

UR - http://www.scopus.com/inward/record.url?scp=85070539642&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070539642&partnerID=8YFLogxK

U2 - 10.1097/SHK.0000000000001359

DO - 10.1097/SHK.0000000000001359

M3 - Review article

C2 - 31008871

AN - SCOPUS:85070539642

VL - 52

SP - 288

EP - 299

JO - Shock

JF - Shock

SN - 1073-2322

IS - 3

ER -