Autotransfusion in emergent operative trauma resuscitation. (Record no. 2696)

MARC details
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fixed length control field 03131nam a22003377a 4500
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fixed length control field 170922s20142014 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1863-9933
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 26814509
245 ## - TITLE STATEMENT
Title Autotransfusion in emergent operative trauma resuscitation.
251 ## - Source
Source European Journal of Trauma & Emergency Surgery. 40(5):541-5, 2014 Oct
252 ## - Abbreviated Source
Abbreviated source Eur. j. trauma emerg. surg.. 40(5):541-5, 2014 Oct
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Journal name European journal of trauma and emergency surgery : official publication of the European Trauma Society
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2014
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Manufacturer FY2015
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Date added to catalog 2017-09-22
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: We found no evidence that emergent autotransfusion worsens clinical outcomes in the setting of concomitant HVI.
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Abstract METHODS: A total of 179 patients in period 1999-2008 with penetrating and blunt abdominal trauma requiring intraoperative blood transfusion were evaluated. Recipients of autotransfusion and banked blood (autotransfused group) were compared with recipients of banked blood products only (control group). The t-test, Chi-squared, and Fisher's exact test were used to evaluate the data. Multivariate regression analysis evaluated the primary outcomes, survival and bloodstream infection (BSI).
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Abstract PURPOSE: Autotransfusion of red cells is common in many surgical specialties. However, this technique is not uniformly used in abdominal trauma. The purpose of this paper is to study the outcomes of patients who were autotransfused during emergency trauma operations in which they sustained full-thickness hollow viscus injury (HVI).
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Abstract RESULTS: Of the 179 patients, 108 controls and 71 autotransfused patients were evaluated. The results showed no statistically significant difference between the control and autotransfusion groups regarding age, injury pattern/severity [Injury Severity Score (ISS)], length of stay, postoperative international normalized ratio (INR), and volume of banked blood products. Both groups were also proportional with colon injury. The estimated operative blood loss (EBL) was 2,472 +/- 3,261 for controls and 4,056 +/- 3,825 for the autotransfused group (p = 0.0001). The total volume of blood transfused was 2,792 and 5,513 for controls and patients in the autotransfusion group, respectively (p = 0.002). Ninety controls (84 %) and 53 autotransfused patients (76 %) survived to discharge (p = 0.21). Twenty controls (49 %) and 17 autotransfused patients (45 %) developed BSI (p = 0.72). Logistic regression analysis revealed that an ISS >25, systolic blood pressure <90, and EBL >2 L predicted mortality. There was also a trend towards decreased survival with age >50 years.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element PubMed-not-MEDLINE -- Not indexed
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Institution MedStar Washington Hospital Center
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Department Surgery/Trauma Surgery
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Medline publication type Journal Article
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Local Authors McArthur, K A
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Local Authors Sava, Jack
790 ## - Authors
All authors Caliste XA, McArthur KA, Sava JA
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DOI <a href="https://dx.doi.org/10.1007/s00068-013-0328-9">https://dx.doi.org/10.1007/s00068-013-0328-9</a>
Public note https://dx.doi.org/10.1007/s00068-013-0328-9
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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          MedStar Authors Catalog MedStar Authors Catalog 09/22/2017   26814509 26814509 09/22/2017 09/22/2017 Journal Article

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