Comparison of patients with grade 4 liver injuries after massive transfusion
| Variable | Group; mean (%)* | |
|---|---|---|
| MTP | Pre-MTP | |
| Total patients | 15 | 13 |
| Age, median, yr | 32 | 27 |
| Male sex | (93) | (92) |
| Penetrating mechanism | (73) | (54) |
| Injury severity score | 26 | 28 |
| Hemodynamic instability | (80) | (77) |
| Presenting base deficit | −14.6 | −14.3 |
| Concurrent injuries | 3.7 | 3.2 |
| Mechanical ventilation, d | 14 | 11 |
| LOS, d | 29 | 25 |
| Overall mortality, no. | 6 (40) | 6 (46) |
| Initial damage control procedure, no. | 13 (87) | 13 (100) |
| No. of operations among all patients | 4 | 6 |
| Primary abdominal fascial closure | 8/9 (89) | 1/7 (14) |
| Achieved by survivors prior to discharge | ||
| PRBC:FFP transfusion | 1.56 | 10.9† |
| PRBC:platelets transfusion | 1.23 | 16* |
| Total PRBC units, 24 h | 31 | 24 |
| Total PRBC units, < 6 h | 28 | 20 |
| Crystalloid infusion, L | 6 | 13† |
| Factor VIIa | 6 (40) | 2 (15) |
| Postoperative INR | 1.19 | 1.99 |
| Postoperative base deficit | −4.9 | −10.6† |