The Predictive Role of Red Cell Distribution Width (RDW) in Blood Transfusion in Multiple Trauma
محل انتشار: مجله تروما، دوره: 24، شماره: 4
سال انتشار: 1398
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 48
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شناسه ملی سند علمی:
JR_TRAUM-24-4_002
تاریخ نمایه سازی: 11 آبان 1402
چکیده مقاله:
Background: To reduce mortality in patients with multiple-trauma, rapid diagnosis for blood transfusion is of great importance.Objectives: The current study aimed at investigating the predictive role of red cell distribution width (RDW) in comparison with other multivariate systems to determine the need for blood transfusions in patients with trauma referred to hospital.Methods: The follow-up study was conducted on patients with multiple-trauma aged ≥ ۱۸ years with an injury severity score (ISS) ≥ ۱۶ referred to the emergency department within the study period. All patients were evaluated based on the ATLS (the advanced trauma life support) guideline; then, blood samples were taken at arrival and ۲۴ hours later to measure RDW. According to the questionnaire, age, gender, ISS, RTS (the revised trauma score), and TASH (the trauma-associated severe hemorrhage) score were recorded by a senior emergency medicine resident.Results: Finally, ۲۰۰ patients were enrolled in the study, of which ۸۷ (۴۳.۵%) received blood transfusion. In the univariate analysis, there was a significant association between the first-day RDW, ∆ RDW (RDW on arrival - the first-day RDW), ISS, RTS, and TASH score, and blood transfusion. However, in the multivariate analysis, only TASH had a significant relationship with the need for blood transfusion (P < ۰.۰۰۰۱).Conclusions: Inmultiple trauma patients, rapid diagnosis of hemorrhage and the need for blood transfusion is crucial. Monitoring the patients based on the RDW test is not helpful in predicting the need for blood transfusion. Multivariate systems such as TASH score are more valuable in determining the need for blood transfusion.
کلیدواژه ها:
نویسندگان
Sedigheh Afshari
Department of Emergency Medicine, Kerman University of Medical Sciences, Kerman, Iran
Mehdi Torabi
Department of Emergency Medicine, Kerman University of Medical Sciences, Kerman, Iran
Moghadameh Mirzaee
Department of Biostatistics and Epidemiology, School of Public Health, University of Medical Sciences, Kerman, Iran