Activation of massive transfusion for elderly trauma patients

Jason S. Murry, Andrea A. Zaw, David M. Hoang, Devorah Mehrzadi, Danielle Tran, Miriam A Nuno, Matthew Bloom, Nicolas Melo, Daniel R. Margulies, Eric J. Ley

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Massive transfusion protocol (MTP) is used to resuscitate patients in hemorrhagic shock. Our goal was to review MTP use in the elderly. All trauma patients who required activation of MTP at an urban Level I trauma center from January 1, 2011 to December 31, 2013 were reviewed retrospectively. Elderly was defined as age . 60 years. Sixtysix patients had MTP activated: 52 nonelderly (NE) and 14 elderly (E). There were no statistically significant differences between the two cohorts for gender, injury severity score, head abbreviated injury scale, emergency department Glasgow Coma Scale, initial hematocrit, intensive care unit length of stay, or hospital length of stay. Mean age for NE was 35 years and 73 years for E (P < 0.01). Less than half (43%) of E patients with activation of MTP received 10 or more units of blood products compared with 69 per cent of the NE (P = 0.07). Mortality rates were similar in the NE and the E (53%vs 50%, P = 0.80). After multivariate analysis with Glasgow Coma Scale, injury severity score, and blunt versus penetrating trauma, elderly age was not a predictor of mortality after MTP (P = 0.35). When MTP is activated, survival to discharge in elderly trauma patients is comparable to younger patients.

Original languageEnglish (US)
Pages (from-to)945-949
Number of pages5
JournalAmerican Surgeon
Volume81
Issue number10
StatePublished - Jan 1 2015
Externally publishedYes

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Wounds and Injuries
Length of Stay
Glasgow Coma Scale
Injury Severity Score
Abbreviated Injury Scale
Hemorrhagic Shock
Mortality
Trauma Centers
Craniocerebral Trauma
Hematocrit
Intensive Care Units
Hospital Emergency Service
Multivariate Analysis
Survival

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Murry, J. S., Zaw, A. A., Hoang, D. M., Mehrzadi, D., Tran, D., Nuno, M. A., ... Ley, E. J. (2015). Activation of massive transfusion for elderly trauma patients. American Surgeon, 81(10), 945-949.

Activation of massive transfusion for elderly trauma patients. / Murry, Jason S.; Zaw, Andrea A.; Hoang, David M.; Mehrzadi, Devorah; Tran, Danielle; Nuno, Miriam A; Bloom, Matthew; Melo, Nicolas; Margulies, Daniel R.; Ley, Eric J.

In: American Surgeon, Vol. 81, No. 10, 01.01.2015, p. 945-949.

Research output: Contribution to journalArticle

Murry, JS, Zaw, AA, Hoang, DM, Mehrzadi, D, Tran, D, Nuno, MA, Bloom, M, Melo, N, Margulies, DR & Ley, EJ 2015, 'Activation of massive transfusion for elderly trauma patients', American Surgeon, vol. 81, no. 10, pp. 945-949.
Murry JS, Zaw AA, Hoang DM, Mehrzadi D, Tran D, Nuno MA et al. Activation of massive transfusion for elderly trauma patients. American Surgeon. 2015 Jan 1;81(10):945-949.
Murry, Jason S. ; Zaw, Andrea A. ; Hoang, David M. ; Mehrzadi, Devorah ; Tran, Danielle ; Nuno, Miriam A ; Bloom, Matthew ; Melo, Nicolas ; Margulies, Daniel R. ; Ley, Eric J. / Activation of massive transfusion for elderly trauma patients. In: American Surgeon. 2015 ; Vol. 81, No. 10. pp. 945-949.
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