Table 4

Comparison of patients with grade 5 liver injuries after massive transfusion

VariableGroup; mean (%)*
MTPPre-MTP
Total patients117
Age, yr median2930
Male sex(82)(86)
Penetrating mechanism(64)(71)
Injury severity score2926
Hemodynamic instability(91)(71)
Presenting base deficit−15.2−16.4
Concurrent injuries2.92.7
Mechanical ventilation, d34
LOS, d1510
Overall mortality, no.8 (73)5 (71)
Initial damage control procedure, no.9 (82)7 (100)
No. of operations among all patients12
Primary abdominal fascial closure2/3 (67)1/2 (50)
Achieved by survivors prior to discharge
 PRBC:FFP transfusion1.656.1
 PRBC:platelets transfusion2.033.8
 Total PRBC units, 24 h2337
 Total PRBC units, < 6 h1729
 Crystalloid infusion, L611
 Factor VIIa2 (18)2 (29)
 Postoperative INR1.311.49
 Postoperative base deficit−13.4−14.6
  • FFP = fresh frozen plasma; INR = international normalized ratio; LOS = length of stay in hospital; MTP = massive transfusion protocols; PRBC = packed red blood cells.

  • * Unless otherwise indicated.

  • p < 0.05.