Relationship of Transfusion and Infection in a Burn Population

Abstract

The relationship between the number of red blood cell transfusions and major infections complications was evaluated in 594 thermal injury patients admitted between 1982 and 1986 who had burns over 10% or more of total body surface area and survived more than 10 days. The mean age of this group was 32.9 years, with a mean burn size of 36% of total body surface area; 83% were male. Of the 594 patients, 23.7% died and 38.7% had documented inhalation injury. The mean number of red blood cell transfusion received was 19.7, with a range of 0 to 201. Two hundred fourteen patients (36%) had major infectious complication, defined as pneumonia or invasive burn wound infection. A cross-tabulation of predicted mortality, number of transfusions, and infectious complications revealed a significant positive correlation between transfusion number and infectious complications in patients with predicted mortalities between 10 and 70%. (JS)

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 1989
Accession Number
ADA228501

Entities

People

  • Arthur D. Mason Jr.
  • Basil A. Pruitt Jr.
  • Theresa A. Graves
  • William F. McManus
  • William G. Cioffi

Organizations

  • United States Army Institute of Surgical Research

Tags

DTIC Thesaurus Topics

  • Blood
  • Blood Cells
  • Blood Transfusions
  • Bone And Bones
  • Cells
  • Debridement
  • Health Services
  • Leukocytes
  • Lymphocytes
  • T Lymphocytes
  • Wound Infections
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Immunology and Pathology
  • Regression Analysis.