Can we predict the need for blood transfusions and admissions to the ICU sooner with a simple quick blood investigation, sent upon arrival to the hospital, in patients who have experienced multiple physical injuries?
- Conditions
- Health Condition 1: S00-T88- Injury, poisoning and certain other consequences of external causes
- Registration Number
- CTRI/2023/07/055664
- Lead Sponsor
- M S Ramaiah Medical College
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Adults, both males and females aged between 18 to 70 years of age, who have encountered polytrauma less than 12 hours prior to admission and who will have an injury severity score of >16
a)Poly trauma cases that have received prior treatment for more than 6 hours in a tertiary care centre and then been shifted/sent to this hospital for further management
b)Patients who have already received blood transfusion
c)Patients who are on anti coagulants or dual anti platelet therapy
d)Patients with severe traumatic brain injury
e)Jehovas witnesses
f)Patients with burns, known hepatic disorders, renal failure, malignancy, shock due to spinal trauma, pre-hospital cardiac arrest, drug poisoning
g)patients who refuse treatment,
h)Pregnant women
i)Conditions predisposing to altered lactate levels: heart failure, respiratory failure, liver disease, severe dehydration
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method a)Requirement for Blood transfusion- If blood has been transfused, <br/ ><br>i.At what value of haemoglobin was the blood transfused <br/ ><br>ii.Whether whole blood or only packed cells was transfused (transfusion of other blood products will not be included in the study) <br/ ><br>iii.Whether massive transfusion protocol was initiated or not <br/ ><br>Timepoint: At the end of 48 hours
- Secondary Outcome Measures
Name Time Method A)Death <br/ ><br>B)ICU admission <br/ ><br>C)Whether the patient has been taken up for any emergency unplanned surgical procedure (elective procedures will not be included in the study) <br/ ><br>Within 48 hours of admission <br/ ><br>Timepoint: At the end of 48 hours