• Rui Li, Wei Han, Jiafa Lu, Xuedong Sun, and Tianhong Tang.
• Emergency Department, Shenzhen University General Hospital, Shenzhen, 518055, China.
• Eur J Trauma Emerg Surg. 2023 Dec 18.

ObjectivesWe aimed to explore the predictive value of four traumatic hemorrhage scores for early massive blood transfusion in trauma patients in the pre-hospital setting.MethodsTrauma patients admitted to Shenzhen University General Hospital from July 2018 to December 2022 were included in this study. They were divided into the massive transfusion group and the non-massive transfusion group according to the blood transfusion volume within 24 h. Basic information about patients was collected. Glasgow Coma Scale (GCS), focused assessment with sonography for trauma (FAST), and injury severity score (ISS) were performed. The receiving operating characteristic (ROC) curve was used to compare the predictive value of four trauma transfusion scores for early massive blood transfusion in the pre-hospital setting.ResultsA total of 475 patients were enrolled, 43 received massive blood transfusions and 29 died within 24 h. The sensitivity and specificity of the four trauma hemorrhage scores in predicting the need for massive blood transfusions in trauma patients at their recommended cutoff points were all high. Among the four scores, the area under the ROC curve was larger for the assessment of blood consumption (ABC) score (0.864) and smaller for the trauma-induced coagulopathy clinical score (TICCS) score (0.795, p > 0.05).ConclusionsAll four pre-hospital trauma hemorrhage scores have a high predictive value in assessing massive blood transfusion in trauma patients.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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