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Massive Transfusion Protocol Adherence: Relationship to Trauma Patient Outcomes.
Alexander M Margolin1, Susan G Silva, Kasey E T McLaughlin
1School of Nursing, Duke University, Durham, North Carolina (Drs Margolin, Silva, and Pereira); and Department of Anesthesiology (Dr McLaughlin and Mr Flowe) and Transfusion Services (Dr Poisson), Duke University Hospital, Durham, North Carolina.
Summary
High adherence to massive transfusion protocols is linked to better survival rates in trauma patients. Ongoing evaluation of protocol adherence is crucial for improving trauma care outcomes.
Area of Science:
- Trauma Care
- Quality Improvement
- Patient Outcomes
Background:
- Effective massive transfusion protocols (MTPs) are vital for managing severe hemorrhage in trauma patients.
- Continuous assessment of MTP adherence is essential for optimizing patient outcomes.
Purpose of the Study:
- To evaluate provider adherence to a revised MTP.
- To examine the relationship between MTP adherence and clinical outcomes in trauma patients.
Main Methods:
- Retrospective, descriptive, correlational study design.
- Analysis of patient data, MTP adherence, and outcomes from November 2018 to October 2020 at a Level I trauma center.
- Bivariate statistical methods to assess associations between MTP adherence and survival.
Main Results:
- 95 trauma patients with MTP activation were analyzed.
- 75% survived 24 hours; 68% survived to discharge.
- Median MTP adherence was 75% for survivors versus 25% for non-survivors (p < .001).
Conclusions:
- Provider adherence to MTPs significantly impacts trauma patient survival.
- Regular MTP adherence evaluations are necessary to identify areas for improvement in trauma settings.
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