Mortality and the factors related to the death in surgical patients with massive blood transfusion
- Author:
Hue Thi Nguyen
- Publication Type:Journal Article
- Keywords:
Massive blood transfusion;
mortality
- MeSH:
Massive blood transfusion;
mortality
- From:Journal of Medical and Pharmaceutical Information
2004;0(1):19-24
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Background: Massive Blood Transfusion is common in surgery, which can save many lives. However, massive blood transfusion in a short time together with other disorders can cause serious side effects and death. Objective: Investigation on the factors related to mortality in surgical patients after massive blood transfusion. Subject and Method: A descriptive study was carried out on 90 patients of massive blood transfusion in Viet Duc hospital. Results: There were 38 cases of death among the 90 patients of massive blood transfusion (42%), in which 97.7% died within 2 to 24 days of hospitalization (caused by multi organ failure). There are no correlation between the deaths, with the units of blood transfused, hypothermia, anemia (Hb) and with platelet counts, APTT, PT, fibrinogen changes, 3 risk factors that correlated significantly with mortality are BE, DIC and age of patients. Conclusion: Acidosis (pH, BE) and hemostasis status should be closely monitored and corrected early to reduce the risks of mortality.
