2011 Volume 25 Issue 3 Pages 348-352
Recently, scoring systems for early prediction of the necessity of massive transfusion have been reported. We investigated the accuracy of such scoring systems in multiple trauma patients. In this study, 32 patients required massive transfusion and 101 patients did not. For trauma-associated severe hemorrhage (TASH) score and assessment of blood consumption (ABC) score, the area under receiver operating characteristic (AUROC) values was 0.819 and 0.711, respectively. Therefore, TASH and ABC score were moderately accurate. The AUROC values for TASH score in young patients under 65 years of age and old patients more than 65 years of age were 0.976 and 0.753, respectively. TASH was higher accuracy in predicting the necessity of massive transfusion in young patients than in older patients, in whom physiological signs are more difficult to detect.
