Resumen
Introduction: Balanced transfusion of blood products requires a thorough analysis of the patient's hemostatic status to avoid complications in the traumatized patient. The implementation of thromboelastogram has improved empirical transfusion protocols and promotes transfusions aimed at resolving patient-specific coagulopathy.
Methods: Thromboelastography data were collected from polytraumatized patients admitted to the intensive care unit of the Guatemalan Institute of Social Security who were characterized according to the ISS scale (injury severity score). In addition to the amount of blood products transfused to each patient and whether or not they presented coagulopathy. The data were analyzed with the aim of describing the results of transfusion therapy in this patient population.
Results: The most prevalent coagulopathy in our study population was hypercoagulability with a total of 45%. The most transfused blood derivative was the globular package with a total of 58%, followed by 21% corresponding to fresh frozen plasma, 15% to platelets and 6% were cryoprecipitate.
Conclusions: It was determined that the most frequent coagulopathy in polytraumatized patients with the use of thromboelastography was hypercoagulability.
Citas
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