A survey of low titer O whole blood use within the trauma quality improvement program registry

• DOI: 10.1111/trf.17746
• Publication Date: 2024-02-14T07:34:54Z
• Authors: Steven G. Schauer; Michael D. April; Andrew D. Fisher; Franklin L. Wright; Julie M. Winkle; Angela R. Wright; Julie A. Rizzo; Todd M. Getz; Susannah E. Nicho...; Mark H. Yazer; Maxwell A Braverman
• Keywords: Trauma Center; Pediatric trauma

Abstract Introduction The use of low titer O whole blood (LTOWB) has expanded although it remains unclear how many civilian trauma centers are using LTOWB. Methods We analyzed data on LTOWB recipients in the American College Surgeons Trauma Quality Improvement Program (TQIP) database 2020–2021. Unique facility keys were used to determine number that period. Results A total 16,603 patients received TQIP between 2020 and 2021; 6600 2020, 10,003 2021. facilities reported went from 287/779 (37%) 302/795 (38%) Between 2021, among all level 1–3 designated report increased at level‐1 (118 129), level‐2 (81 86), but decreased level‐3 (9 4). Among pediatric dual pediatric‐adult hospitals there was a decrease (29 28) capable administering with either single or center designation adult centers, administered injured also 17 10, respectively. Conclusions There an increase transfusing is underutilized children have available. These findings inform expansion trauma.