Investigating the association between initial blood product transfusion with a higher plasma-to-red blood cell ratio and mortality in adults with severe bleeding following trauma

This study demonstrates that a high FFP:PRBC ratio (>1:1.5) is associated with reduced 24-hour and 30-day mortality rates among trauma patients with massive hemorrhage. However, the need for mechanical ventilation in some high-ratio patients suggests potential trade-offs that warrant further investigation. Additional research is needed to explore the potential adverse effects of high FFP:PRBC ratios and to optimize transfusion strategies in trauma care.

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Publication Details

Journal
Annals of Medicine and Surgery
Published
2025-04-21
DOI
https://doi.org/10.1097/ms9.0000000000003314
Citations
3
Primary Topic
Trauma, Hemostasis, Coagulopathy, Resuscitation
Type
article
Field-Weighted Citation Impact
4.64
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article

Investigating the association between initial blood product transfusion with a higher plasma-to-red blood cell ratio and mortality in adults with severe bleeding following trauma

Haleh Pak, Masoud Sharifian, Parham Khoshdani Farahani, Mohammad Kazem Shahmoradi
3 citations
Annals of Medicine and Surgery
Trauma, Hemostasis, Coagulopathy, Resuscitation
4.64
article

Investigating the association between initial blood product transfusion with a higher plasma-to-red blood cell ratio and mortality in adults with severe bleeding following trauma

Haleh Pak, Masoud Sharifian, Parham Khoshdani Farahani, Mohammad Kazem Shahmoradi
article en
3 citations

Abstract

This study demonstrates that a high FFP:PRBC ratio (>1:1.5) is associated with reduced 24-hour and 30-day mortality rates among trauma patients with massive hemorrhage. However, the need for mechanical ventilation in some high-ratio patients suggests potential trade-offs that warrant further investigation. Additional research is needed to explore the potential adverse effects of high FFP:PRBC ratios and to optimize transfusion strategies in trauma care.

Annals of Medicine and SurgeryVol. 87(6)
Lorestan University of Medical Sciences (IR), Jahrom University of Medical Sciences (IR), Alborz University of Medical Sciences (IR)
Openalex Percentile: Top 6%
Trauma, Hemostasis, Coagulopathy, Resuscitation
4.64
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Investigating the association between initial blood product transfusion with a higher plasma-to-red blood cell ratio and mortality in adults with severe bleeding following trauma — Haleh Pak, Masoud Sharifian, et al. · Annals of Medicine and Surgery (2025) | TGRS Research Map | TGRS