Table 2.
Blood product administration and unadjusted mortality compared between cryoprecipitate group and no cryoprecipitate group.
No Cryoprecipitate (n=297) |
Cryoprecipitate (n=152) |
p value | |
---|---|---|---|
| |||
Blood products and adjuncts | |||
| |||
Duration of massive transfusion event (n=449) | 2.7 (1.0–5.0) | 4.8 (3.0–7.7) | <0.001 |
| |||
Total volume mL/kg (n=449) | 41 (20–77) | 120 (67–236) | <0.001 |
| |||
Red blood cell volume mL/kg (n=449) | 24 (12–46) | 56 (28–121) | <0.001 |
| |||
Plasma volume mL/kg (n=449) | 12 (0–24) | 32 (16–67) | <0.001 |
| |||
Platelet volume mL/kg (n=449) | 3 (0–11) | 21 (10–42) | <0.001 |
| |||
Cryoprecipitate volume mL/kg (n=449) | - | 4 (2–9) | - |
| |||
Plasma deficit (n=449) | 10 (0–24) | 19 (2–59) | <0.001 |
| |||
Platelet deficit (n=449) | 18 (8–35) | 31 (10–83) | <0.001 |
| |||
Plasma:Red blood cell ratio (n=449) | 0.5 (0–0.85) | 0.6 (0.36–0.91) | 0.002 |
| |||
Platelet:Red blood cell ratio (n=423) | 0.13 (0–0.32) | 0.31 (0.18–0.56) | <0.001 |
| |||
Antifibrinolytics (yes/no) (n=449) | 31 (10) | 25 (16) | 0.07 |
| |||
Factor VII (yes/no) (n=447) | 17 (6) | 39 (26) | <0.001 |
| |||
Crystalloid volume mL/kg (n=445) | 18 (1–50) | 14 (1–57) | 0.58 |
| |||
Outcome | |||
| |||
Mortality – 6 hours (n=69) | 54/297 (18) | 15/152 (10) | 0.03 |
Death due to bleeding | 41/69 (76) | 13/15 (87) | 0.49 |
Death during LTH | 13/54 (24) | 7/15 (46) | 0.11 |
| |||
Mortality – 24 hours (n=99) | 71/297 (24) | 28/152 (18) | 0.23 |
| |||
Mortality – 28 days (n=168) | 104/297 (35) | 64/152 (43) | 0.12 |
| |||
Acute Respiratory Distress Syndrome | 52 (17) | 29 (26) | 0.05 |
| |||
Sepsis | 31 (10) | 13 (9) | 0.62 |
| |||
Acute Kidney Injury | 38 (13) | 45 (30) | <0.001 |
The PRISM III score includes: systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, Pa02/Fi02, PaC02, Glasgow Coma Scale score, pupillary reaction, prothrombin time, partial thromboplastin time, total bilirubin, potassium, calcium, glucose, and bicarbonate.
numeric values are median(IQR) when continuous and n (%) when discrete