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 language | English (US) |
|---|---|
| Pages (from-to) | 288-299 |
| Number of pages | 12 |
| Journal | Shock |
| Volume | 52 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 1 2019 |
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Keywords
- Bleeding
- civilian
- injury
- military
- protocol
- scoring
- shock
- transfusion
- trauma
ASJC Scopus subject areas
- Emergency Medicine
- Critical Care and Intensive Care Medicine
Cite this
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 journal › Review article
}
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 -