Description

Matthay et al evaluated patients receiving ultramassive blood transfusions and identified factors associated with outcomes. The authors created 2 classification and regression tree (CART) models, one composed of all patients, even those with incomplete data. The authors are from multiple institutions in the United States.


Ultramassive blood transfusion: > 20 units of RBCs in first 24 hours, all patients, including those with incomplete data

 

Outcome: survival

 

Parameters:

(1) Glasgow Coma Score (GCS)

(2) age in years

(3) resuscitative thoracotomy

(4) platelet count in 10^9/L

 

GCS

Age

Thoracotomy

Platelet Count

Survival

3

NA

NA

NA

18%

>= 4

>= 50

NA

NA

25%

>= 4

< 50

yes

NA

26%

>= 4

< 50

no

>= 52 * 10^9/L

71%

>= 5

< 50

no

< 52 * 10^9/L

14%

 


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