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Evaluation of the potential impact of the peri-operative transfusion trigger score algorithm on the optimization of
M A Figueroa-Camacho1, J B Licona-Vela1, B I Rodríguez-Romero1
1Unidad Médica de Alta Especialidad, Hospital de Traumatología "Dr. Victorio de la Fuente Narváez", Instituto Mexicano del Seguro Social, Av. Fortuna 101, Magdalena de las Salinas, Gustavo A. Madero, 07760 Ciudad de México, Mexico.
Red blood cell transfusion in trauma surgery continues to be guided primarily by isolated hemoglobin (Hb) values despite the risks associated with over-transfusion.
Red blood cell transfusion in trauma surgery continues to be guided primarily by isolated hemoglobin (Hb) values despite the risks associated with over-transfusion.
Objective:
This study aimed to evaluate whether the retrospective application of the peri-operative transfusion trigger score (POTTS) algorithm could reduce transfusion events in trauma patients. A one-year retrospective analysis was conducted comparing transfusions performed under standard clinical practice (liberal or restrictive management based on hemoglobin levels). The POTTS algorithm was applied, with suggestions to supplement it with the bleeding score and to further refine the algorithm for trauma patients (T-POTTS).
Results:
The POTTS algorithm, which incorporates specific patient physiological parameters to determine a transfusion threshold, identified a significant number of potentially avoidable events and suggested that decisions based solely on Hb may not optimize the actual need for red blood cell transfusion in trauma patients.
Conclusions:
The use of POTTS in trauma patients could decrease unnecessary transfusion events, dismissing the importance of considering physiological parameters in transfusion decision-making.
