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Performance of four scoring systems in predicting the need for massive transfusion in Iranian trauma patients

by Negin Pouroushaninia, Zahra Ramezani, Atefeh Jahangiri, Niyousha Rahimimovaghar, Gerard O'Reilly, Vali Baigi, Vafa Rahimi-Movaghar Background Post-traumatic hemorrhage is a lea

GIST

by Negin Pouroushaninia, Zahra Ramezani, Atefeh Jahangiri, Niyousha Rahimimovaghar, Gerard O'Reilly, Vali Baigi, Vafa Rahimi-Movaghar Background Post-traumatic hemorrhage is a leading cause of death if not promptly identified and treated. This study aimed to compare the performance of four scoring systems in predicting the need for massive transfusion (MT) in trauma patients. Methods This retrospective cohort study analyzed data from trauma patients admitted to Sina Hospital in Tehran between July 2021 and December 2024. All trauma patients who received at least one unit of packed red blood cells were included in the study. Patients were evaluated for the need for MT, and four scoring systems were compared between those who did and did not receive MT. The discriminative ability of the Shock Index (SI), Assessment of Blood Consumption (ABC), Revised Assessment of Bleeding and Transfusion (RABT), and Trauma-Associated Severe Hemorrhage (TASH) was evaluated using the concordance index (C-index) and logistic regression models. Results A total of 329 trauma patients were included, with a mean age of 49.2 (SD = 20.8) years; 244 (74.2%) were male.

Clinical Editorial

PLOS ONE (Medicine) published a clinical update in Research Highlights on 09 Jul 2026. The item focuses on Performance of four scoring systems in predicting the need for massive transfusion in Iranian trauma patients. Review the original article for the full source wording and details.

Original source: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0353398