The Use of Blood Products in Adult Patients with Burns

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Koljonen , V , Tuimala , J , Haglund , C , Tukiainen , E , Vuola , J , Juvonen , E , Lauronen , J & Krusius , T 2016 , ' The Use of Blood Products in Adult Patients with Burns ' , Scandinavian Journal of Surgery , vol. 105 , no. 3 , pp. 178-185 . https://doi.org/10.1177/1457496915622127

Title: The Use of Blood Products in Adult Patients with Burns
Author: Koljonen, V.; Tuimala, J.; Haglund, C.; Tukiainen, E.; Vuola, J.; Juvonen, E.; Lauronen, J.; Krusius, T.
Contributor: University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2016-09
Language: eng
Number of pages: 8
Belongs to series: Scandinavian Journal of Surgery
ISSN: 1457-4969
URI: http://hdl.handle.net/10138/225174
Abstract: Introduction: Burn anemia represents a common complication following a burn injury. Burn anemia etiology carries distinct features occurring at each stage of the post-injury and treatment periods resulting from different causes. We aimed to analyze the use of blood components in Finnish burn victims and to identify patient- and injury-related factors influencing their use. Methods: To study the use of blood products in burn patients, we used data collected from the Optimal Use of Blood registry, developed through co-operation between 10 major hospital districts and the Finnish Red Cross Blood Service. Burn patients 18years treated at the Helsinki University Hospital between 2005 and 2011 with an in-hospital stay 1day who received at least one transfusion during their hospital stay were included in this study. Results: Among all 558 burn patients, 192 (34%) received blood products during their hospital stay. The transfused cohort comprised 192 burn patients. The study cohort received a total of 6087units of blood components, 2422units of leukoreduced red blood cells, 1728units of leukoreduced platelets, and 420units of single-donor fresh frozen plasma or, after 2007, 1517units of Octaplas((R)) frozen plasma. All three types of blood components were administered to 29% of patients, whereas 45% received only red blood cells and 6% received only Octaplas. Transfused patients were significantly older (p Discussion: We show that Finnish adult burn patients received ample transfusions. The number of blood components transfused varied according to the anatomical location of the injury and patient survival. Whether the additional mortality is related directly to transfusions or is merely a manifestation of the more severe burn injury remains unknown.
Subject: Burn anemia
transfusions
burns
adults
complication
FIRE-RELATED INJURIES
QUALITY-OF-LIFE
CRITICAL ILLNESS
TRANSFUSION REQUIREMENTS
HEMATOPOIETIC RESPONSE
CLINICAL-OUTCOMES
CRITICAL-CARE
INFECTION
ANEMIA
COAGULOPATHY
3126 Surgery, anesthesiology, intensive care, radiology
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