Transfusion
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Continued hemorrhage remains a major cause of mortality in massively transfused patients of whom many develop coagulopathy. Reviewing transfusion practice for these patients, we found that at our hospital more than 10 percent received a suboptimal transfusion therapy and that survivors had a higher platelet count than nonsurvivors. We therefore investigated whether the blood bank could improve its service and hence improve the outcome. ⋯ The initiative from the blood bank has improved the transfusion practice and, hence, survival in massively transfused patients at our hospital.
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Review Comparative Study
Reducing the amount of blood transfused by changing clinicians' transfusion practices.