Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review
Purpose Massive transfusion protocols (MTPs) implementation improves clinical outcomes of the patient’s resuscitation with hemorrhagic trauma. Various predictive scoring system have been used and studied worldwide to improve clinical decision. However, such research has not yet been studied in Korea...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2024-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2024-0015.pdf |
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| author | Dongmin Seo Inhae Heo Juhong Park Junsik Kwon Hye-min Sohn Kyoungwon Jung |
| author_facet | Dongmin Seo Inhae Heo Juhong Park Junsik Kwon Hye-min Sohn Kyoungwon Jung |
| author_sort | Dongmin Seo |
| collection | DOAJ |
| description | Purpose Massive transfusion protocols (MTPs) implementation improves clinical outcomes of the patient’s resuscitation with hemorrhagic trauma. Various predictive scoring system have been used and studied worldwide to improve clinical decision. However, such research has not yet been studied in Korea. This systematic review aimed to assess the predictors of MTPs activation in patients with trauma in Korea. Methods The PubMed, Embase, Cochrane Library, Research Information Sharing Service databases, KoreaMed, and KMbase were searched from November 2022. All studies conducted in Korea that utilized predictors of MTPs activation in adult patients with trauma were included. Results Ten articles were eligible for analysis, and the predictors were assessed. Clinical assessments such as systolic and diastolic blood pressure, shock index (SI), prehospital modified SI, modified early warning system (MEWS) and reverse SI multiplied by the Glasgow Coma Scale (rSIG) were used. Laboratory values such as lactate level, fibrinogen degradation product/fibrinogen ratio, and rotational thromboelastometry (ROTEM) were used. Imaging examinations such as pelvic bleeding score were used as predictors of MTPs activation. Conclusions Our systematic review identified predictors of MTPs activation in patients with trauma in Korea; predictions were performed using tools that requires clinical assessments, laboratory values or imaging examinations only. Among them, ROTEM, rSIG, MEWS, SI, and lactate level showed good effects for predictions of MTPs activation. The application of predictors for MTP’s activation should be individualized based on hospital resource and skill set, also should be performed as a clinical decision supporting tools. |
| format | Article |
| id | doaj-art-d59386a9b94c4fdea54814c047296b6c |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-d59386a9b94c4fdea54814c047296b6c2025-01-16T06:10:17ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-06-013729710510.20408/jti.2024.00151312Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic reviewDongmin Seo0Inhae Heo1Juhong Park2Junsik Kwon3Hye-min Sohn4Kyoungwon Jung5 Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, KoreaPurpose Massive transfusion protocols (MTPs) implementation improves clinical outcomes of the patient’s resuscitation with hemorrhagic trauma. Various predictive scoring system have been used and studied worldwide to improve clinical decision. However, such research has not yet been studied in Korea. This systematic review aimed to assess the predictors of MTPs activation in patients with trauma in Korea. Methods The PubMed, Embase, Cochrane Library, Research Information Sharing Service databases, KoreaMed, and KMbase were searched from November 2022. All studies conducted in Korea that utilized predictors of MTPs activation in adult patients with trauma were included. Results Ten articles were eligible for analysis, and the predictors were assessed. Clinical assessments such as systolic and diastolic blood pressure, shock index (SI), prehospital modified SI, modified early warning system (MEWS) and reverse SI multiplied by the Glasgow Coma Scale (rSIG) were used. Laboratory values such as lactate level, fibrinogen degradation product/fibrinogen ratio, and rotational thromboelastometry (ROTEM) were used. Imaging examinations such as pelvic bleeding score were used as predictors of MTPs activation. Conclusions Our systematic review identified predictors of MTPs activation in patients with trauma in Korea; predictions were performed using tools that requires clinical assessments, laboratory values or imaging examinations only. Among them, ROTEM, rSIG, MEWS, SI, and lactate level showed good effects for predictions of MTPs activation. The application of predictors for MTP’s activation should be individualized based on hospital resource and skill set, also should be performed as a clinical decision supporting tools.http://jtraumainj.org/upload/pdf/jti-2024-0015.pdfwounds and injuriesblood transfusionkoreapredictorssystematic review |
| spellingShingle | Dongmin Seo Inhae Heo Juhong Park Junsik Kwon Hye-min Sohn Kyoungwon Jung Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review Journal of Trauma and Injury wounds and injuries blood transfusion korea predictors systematic review |
| title | Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review |
| title_full | Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review |
| title_fullStr | Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review |
| title_full_unstemmed | Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review |
| title_short | Predictors of massive transfusion protocols activation in patients with trauma in Korea: a systematic review |
| title_sort | predictors of massive transfusion protocols activation in patients with trauma in korea a systematic review |
| topic | wounds and injuries blood transfusion korea predictors systematic review |
| url | http://jtraumainj.org/upload/pdf/jti-2024-0015.pdf |
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