Research Article

Massive Blood Transfusion for Trauma Score to Predict Massive Blood Transfusion in Trauma

Table 1

Patient characteristics and univariable analysis of possible predictive parameters between the MBT and non-MBT groups.

MBT (N = 102)Non-MBT (N = 765)OR95% CI valueAuROC

Age, year, median (IQR)33.5 (25–54)33 (23–47)1.010.99–1.020.10‡0.55 (0.49–0.61)
Age ≥60 years, n (%)21 (20.59)85 (11.11)2.071.22–3.520.0060.55 (0.51–0.59)
Male, n (%)77 (75.5)634 (82.7)1.570.96–2.560.08†0.54 (0.49–0.58)
Mechanism of injury, n (%)0.900.83–0.980.0480.43 (0.38–0.48)
MCC56 (54.9)341 (44.6)
MVC11 (10.8)88 (11.5)
Bicycle1 (0.98)7 (0.9)
AVP6 (5.9)29 (3.8)
GSW9 (8.8)39 (5.1)
SW6 (5.8)122 (15.9)
Fall12 (11.8)97 (12.7)
Assault0 (0)25 (3.3)
Others1 (1)17 (2.2)
SBP (mmHg), mean (SD)119.8 (46.4)131.5 (31.5)0.990.98–0.990.0009§0.4 (0.34–0.48)
SBP ≤90, n (%)23 (22.6)72 (9.4)2.801.66–4.73<0.001†0.57 (0.52–0.61)
GCS score, median (IQR)10 (4–15)14 (8–15)0.920.88–0.96<0.001‡0.39 (0.33–0.47)
GCS ≤8, n (%)45 (44.1)262 (34.3)1.511.0–2.300.06†0.55 (0.5–0.6)
HR (/min), mean (SD)108 (33)99 (26)1.011.01–1.020.0012§0.59 (0.53–0.66)
HR ≥ 105, n (%)61 (59.8)301 (38.8)2.341.54–3.57<0.001†0.60 (0.55–0.66)
BE (mEq/L), median (IQR)–10.1 (–13.1 to −5.9)–4.7 (–7.4 to −2.1)0.860.81–0.910.004‡0.26 (0.18–0.35)
BE ≤ –10, n (%)24 (52.2)54 (10.7)9.094.78–17.31<0.001†0.71 (0.63–0.78)
Lactate (mmol/L), mean (SD)5.1 (3.7–6.8)2.6 (1.7–4)1.301.18–1.42<0.001‡0.76 (0.69–0.84)
Lactate >4, n (%)38 (70.4)132 (24)7.544.07–13.95<0.001†0.73 (0.67–0.8)
Presence of free fluid from FAST, n (%)37 (38.9)129 (19.5)2.631.67–4.14<0.001†0.6 (0.55–0.65)
Suspected pelvic fracture, n (%)14 (13.7)14 (1.8)8.533.94–18.49<0.001†0.56 (0.53–0.59)
Suspected femur fracture, n (%)16 (15.7)30 (3.9)4.562.38–8.70<0.001†0.56 (0.52–0.59)
Posterior nasal packing, n (%)6 (5.9)11 (1.4)4.281.55–11.850.02†0.52 (0.5–0.55)
PRBCs in 24 h (unit), median (IQR)17 (13–25)0 (0–2)<0.001‡
FFP in 24 h (mL), median (IQR)3539.5 (2197–5861)0 (0–554)<0.001‡
PC in 24 h (unit), median (IQR)12 (6–23)0 (0–0)<0.001‡
ISS (IQR)32 (22–38)14 (8–25)<0.001‡

MBT, massive blood transfusion; OR, odds ratio; CI, confidence interval; AuROC, area under the receiver operating characteristic; IQR, interquartile range; MCC, motorcycle crash; MVC, multivehicle crash; AVP, auto versus pedestrian; GSW, gunshot wound; SW, stab wound; SBP, systolic blood pressure; SD, standard deviation; GCS, Glasgow Coma Scale; HR, heart rate; BE, base excess; FAST, Focused Assessment Sonography in Trauma; PRBCs, packed red blood cells; FFP, fresh frozen plasma; PC, platelet concentrate; ISS, injury severity score. Rank-sum test, exact probability test, §t-test, and chi-square test.