Table 3.
List of patients receiving blood products for massive transfusion protocol.
| No. | Etiology of Hemorrhage | Blood Loss (mL) | Obstetrics DIC Score | SI ≥ 1 | RBC (U) | FFP (U) | PLT (U) | Autologous Blood (U) | FFP/RBC Ratio |
|---|---|---|---|---|---|---|---|---|---|
| 1 | AFE (DIC-type), Uterine atony | 8000 | 17 | + | 24 | 36 | 40 | 0 | 1.5 |
| 2 | AFE (DIC-type), Uterine atony | 2600 | 17 | + | 24 | 25 | 20 | 0 | 1.04 |
| 3 | Uterine atony | 10,000 | 24 | + | 40 | 40 | 30 | 0 | 1.00 |
| 4 | Placenta previa, PAS | 5500 | 15 | + | 30 | 25 | 20 | 2 | 0.83 |
| 5 | PAS | 4900 | 7 | + | 8 | 10 | 0 | 0 | 1.25 |
| 6 | Placenta previa, Uterine atony | 8000 | 9 | + | 16 | 19 | 20 | 4 | 1.19 |
| 7 | AFE (DIC-type), Uterine atony | 5700 | 15 | + | 16 | 6 | 20 | 0 | 0.38 |
| 8 | PAS | 3000 | 10 | − | 4 | 16 | 20 | 6 | 4.00 |
| 9 | AFE (DIC-type), Uterine atony | 4100 | 13 | + | 20 | 23 | 40 | 0 | 1.20 |
| 10 | Vaginal hematoma | 6000 | 14 | − | 16 | 11 | 20 | 0 | 0.69 |
| 11 | Uterine atony | 2200 | 7 | − | 2 | 3 | 20 | 0 | 1.50 |
| 12 | Uterine atony | 4000 | 7 | − | 10 | 11 | 0 | 0 | 1.10 |
| 13 | AFE (DIC-type), Uterine atony | 4600 | 12 | − | 18 | 20 | 10 | 0 | 1.11 |
| 14 | Uterine rupture | 2300 | 6 | − | 12 | 7 | 10 | 0 | 0.58 |
| 15 | Placenta previa, HELLP syndrome | 9600 | 23 | + | 38 | 59 | 90 | 3 | 1.55 |
| 16 | AFE (DIC-type), Uterine atony | 6000 | 14 | + | 24 | 31 | 20 | 0 | 1.29 |
| 17 | Vaginal hematoma | 4000 | 5 | − | 20 | 19 | 0 | 0 | 0.95 |
| 18 | AFE (DIC-type), Uterine atony, Placenta previa, PAS |
6150 | 9 | + | 18 | 5 | 10 | 6 | 0.28 |
| 19 | AFE (DIC-type), Placental abruption | 6300 | 11 | + | 24 | 24 | 20 | 0 | 1.00 |
| 20 | Uterine atony, Placenta previa | 5433 | 10 | − | 14 | 23 | 30 | 4 | 1.64 |
| 21 | Uterine atony | 3000 | 6 | − | 12 | 7 | 20 | 0 | 0.58 |
| 22 | AFE (DIC-type) | 1700 | 16 | + | 10 | 19 | 10 | 0 | 1.90 |
| 23 | PAS | 4240 | 5 | − | 18 | 35 | 20 | 0 | 1.94 |
| 24 | Uterine atony | 3090 | 8 | + | 12 | 11 | 0 | 0 | 0.92 |
| mean or number (range or %) |
5017 | 11.7 | 14 | 17.9 | 20.2 | 20.4 | 1.04 | 1.13 | |
| (2200–10,000) | (5–24) | (58.3) | (2–40) | (3–59) | (0–90) | (0–6) | (0.28–4.00) |
Data are shown as mean (range) or number (%). AFE, amniotic fluid embolism; DIC, disseminated intravascular coagulation; PAS, placenta accreta spectrum; SI, shock index; MTP, massive transfusion protocol; RBC, red blood cells; FFP, fresh frozen plasma; PLT, platelet; +, Yes, −, No. The amount of RBC, FFP, and PLT transfusions is described by Japanese units, which is defined as that derived from 200 mL whole blood.