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Title

The Predictive Role of Red Cell Distribution Width (RDW) in Blood Transfusion in Multiple Trauma. Is It True?

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Abstract

 Background: To reduce mortality in patients with multiple-trauma, rapid diagnosis for Blood Transfusion is of great importance. Objectives: The current study aimed at investigating the predictive role of Red Cell Distribution Width (RDW) in comparison with other multivariate systems to determine the need for Blood Transfusions in patients with trauma referred to hospital. Methods: The follow-up study was conducted on patients with multiple-trauma aged 18 years with the injury severity score (ISS)  16 referred to the emergency department within the nine months of the study period. All patients were evaluated based on the ATLS (the advanced trauma life support) guideline; then, blood samples were taken at arrival and 24 hours later to measureRDW. According to the questionnaire, age, gender, ISS, RTS (the revised trauma score), and TASH (the trauma-associated severe hemorrhage) score were also recorded by a senior emergency medicine resident. Results: Finally, 200patients were enrolled in the study, of which87 patients (43. 5%) received the Blood Transfusion. In the univariate analysis, therewasa significant association between the first-dayRDW,  RDW(RDWonarrival-the first-day RDW), ISS, RTS, andTASH score, and Blood Transfusion. However, in the multivariate analysis, only TASH had a significant relationship with the need for Blood Transfusion (P < 0. 0001). Conclusions: In Multiple Trauma patients, rapid diagnosis of hemorrhage and the need for Blood Transfusion is crucial. Monitoring the patients based on the RDW test is not helpful to predict the need for Blood Transfusion. Multivariate systems such as TASH score are more valuable to determine the need for Blood Transfusion.

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    APA: Copy

    Afshari, Sedigheh, TORABI, MEHDI, & Mirzaee, Moghadameh. (2019). The Predictive Role of Red Cell Distribution Width (RDW) in Blood Transfusion in Multiple Trauma. Is It True?. TRAUMA MONTHLY, 24(4), 0-0. SID. https://sid.ir/paper/756541/en

    Vancouver: Copy

    Afshari Sedigheh, TORABI MEHDI, Mirzaee Moghadameh. The Predictive Role of Red Cell Distribution Width (RDW) in Blood Transfusion in Multiple Trauma. Is It True?. TRAUMA MONTHLY[Internet]. 2019;24(4):0-0. Available from: https://sid.ir/paper/756541/en

    IEEE: Copy

    Sedigheh Afshari, MEHDI TORABI, and Moghadameh Mirzaee, “The Predictive Role of Red Cell Distribution Width (RDW) in Blood Transfusion in Multiple Trauma. Is It True?,” TRAUMA MONTHLY, vol. 24, no. 4, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/756541/en

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