다발성 외상 환자에서 emergency room transfusion score(ETS)를 이용한 응급수혈의 예측인자

Abstract

Abstract Predictors of Emergency Blood Transfusion Using Emergency Room Transfusion Score (ETS) for Patients with Multiple Trauma Jo Hyeon kyu Advisor : Prof. Kim Seong Jung Department of Medicine, Graduate School of Chosun University

Method: This study was conducted on 375 patients with multiple trauma who visited the Chosun University Hospital Emergency Medical Center and activated the Emergency Trauma Team from January 2010 to December 2013. It also created damage records by dividing them into the transfused group and non-transfused group after retrospectively analyzing the medical records. Subsequently, they were examined using the 9 items suggested by the emergency room transfusion score (ETS) and then separately analyzed.

Result: 375 patients with multiple trauma visited the Chosun University Hospital Emergency Medical Center and activated the Emergency Trauma Team. Among them, 258 died and 117 recovered and left the hospital.

The deceased patients consisted of 182 males and 76 females on average at age 45. 165 of them were transferred from other hospitals, and 245 were blunt trauma patients. 169 patients were injured in traffic accidents, and 119 of them with a systolic blood pressure less than 90 mm Hg died. 226 (60.3%) out of the patients with multiple trauma received an emergency blood transfusion on average at age 48. They consisted of 156 males, 151 transferred from other hospitals, 218 with blunt trauma, 134 injured in traffic accidents, 156 with a systolic blood pressure less than 90 mm Hg, 134 with more than 9 points of GCS, 162 with stable pelvic fracture and 143 deceased.

Conclusion: During this study, 226 (60.3%) out of the patients with multiple trauma received an emergency blood transfusion. After analyzing the results related to emergency blood transfusion using ETS, it was necessary to quickly prepare emergency blood transfusion when patients transferred from other hospitals with a systolic blood pressure less than 90 mm Hg with abnormalities detected by ultrasonography and with stable pelvic fracture visit the hospital.