{"id":"https://openalex.org/W2331928299","doi":"https://doi.org/10.1097/01.ccm.0000424457.88515.5f","title":"239","display_name":"239","publication_year":2012,"publication_date":"2012-12-01","ids":{"openalex":"https://openalex.org/W2331928299","doi":"https://doi.org/10.1097/01.ccm.0000424457.88515.5f","mag":"2331928299"},"language":"en","primary_location":{"id":"doi:10.1097/01.ccm.0000424457.88515.5f","doi":"https://doi.org/10.1097/01.ccm.0000424457.88515.5f","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ccm.0000424457.88515.5f","pdf_url":null,"source":{"id":"https://openalex.org/S108732581","display_name":"Critical Care Medicine","issn_l":"0090-3493","issn":["0090-3493","1530-0293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Critical Care Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047696355","display_name":"Heather E. Fremgen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Heather Fremgen","raw_affiliation_strings":["Univeristy of Utah, Primary Children\u2019s Medical Center","University of Utah","University of Utah, Primary Childrens Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univeristy of Utah, Primary Children\u2019s Medical Center","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"University of Utah","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"University of Utah, Primary Childrens Medical Center","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012380785","display_name":"Ryan R. Metzger","orcid":"https://orcid.org/0000-0003-0906-7108","observed_orcids":["https://orcid.org/0000-0003-0906-7108"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ryan Metzger","raw_affiliation_strings":["Univeristy of Utah, Primary Children\u2019s Medical Center","University of Utah","University of Utah, Primary Childrens Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univeristy of Utah, Primary Children\u2019s Medical Center","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"University of Utah","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"University of Utah, Primary Childrens Medical Center","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026100993","display_name":"Susan L. Bratton","orcid":"https://orcid.org/0000-0002-4605-8078","observed_orcids":["https://orcid.org/0000-0002-4605-8078"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan Bratton","raw_affiliation_strings":["Univeristy of Utah, Primary Children\u2019s Medical Center","University of Utah","University of Utah, Primary Childrens Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univeristy of Utah, Primary Children\u2019s Medical Center","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"University of Utah","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"University of Utah, Primary Childrens Medical Center","institution_ids":["https://openalex.org/I223532165"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108475768","display_name":"Douglas C. Barnhart","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Douglas Barnhart","raw_affiliation_strings":["Univeristy of Utah, Primary Children\u2019s Medical Center","University of Utah","University of Utah, Primary Childrens Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univeristy of Utah, Primary Children\u2019s Medical Center","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"University of Utah","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"University of Utah, Primary Childrens Medical Center","institution_ids":["https://openalex.org/I223532165"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I223532165"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.28049928,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"40","issue":null,"first_page":"1","last_page":"328"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9570000171661377,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.9570000171661377,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.027799999341368675,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.006599999964237213,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/packed-red-blood-cell-transfusion","display_name":"packed red blood cell transfusion","score":0.8550000190734863},{"id":"https://openalex.org/keywords/delayed-hemorrhage","display_name":"delayed bleeding","score":0.8519999980926514},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.9020000100135803},{"id":"https://openalex.org/keywords/prothrombin-time","display_name":"prothrombin time","score":0.8610000014305115},{"id":"https://openalex.org/keywords/acidosis","display_name":"acidosis","score":0.8299999833106995},{"id":"https://openalex.org/keywords/emergency-department-evaluation","display_name":"emergency department evaluation","score":0.4729999899864197},{"id":"https://openalex.org/keywords/trauma-registry","display_name":"trauma registry","score":0.3659999966621399},{"id":"https://openalex.org/keywords/pediatric-trauma","display_name":"pediatric trauma","score":0.47200000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.956732988357544},{"id":"https://openalex.org/C85004164","wikidata":"https://www.wikidata.org/wiki/Q1089964","display_name":"Injury Severity Score","level":4,"score":0.6393121480941772},{"id":"https://openalex.org/C2780920261","wikidata":"https://www.wikidata.org/wiki/Q1363810","display_name":"Packed red blood cells","level":3,"score":0.6286122798919678},{"id":"https://openalex.org/C2780110798","wikidata":"https://www.wikidata.org/wiki/Q2980337","display_name":"Trauma center","level":3,"score":0.6271750926971436},{"id":"https://openalex.org/C2776376669","wikidata":"https://www.wikidata.org/wiki/Q5094647","display_name":"Intensive care unit","level":2,"score":0.6149051785469055},{"id":"https://openalex.org/C17624336","wikidata":"https://www.wikidata.org/wiki/Q461644","display_name":"Glasgow Coma Scale","level":2,"score":0.5708790421485901},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.5353427529335022},{"id":"https://openalex.org/C2780084366","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demographics","level":2,"score":0.5334973931312561},{"id":"https://openalex.org/C2780014101","wikidata":"https://www.wikidata.org/wiki/Q183605","display_name":"Blood transfusion","level":2,"score":0.5176987648010254},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4904036521911621},{"id":"https://openalex.org/C2777981362","wikidata":"https://www.wikidata.org/wiki/Q7159235","display_name":"Pediatric trauma","level":4,"score":0.46158888936042786},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.45748370885849},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2991829514503479},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.29276883602142334},{"id":"https://openalex.org/C190385971","wikidata":"https://www.wikidata.org/wiki/Q373494","display_name":"Injury prevention","level":3,"score":0.2490059733390808},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.23915112018585205},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.19635096192359924},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/01.ccm.0000424457.88515.5f","doi":"https://doi.org/10.1097/01.ccm.0000424457.88515.5f","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.ccm.0000424457.88515.5f","pdf_url":null,"source":{"id":"https://openalex.org/S108732581","display_name":"Critical Care Medicine","issn_l":"0090-3493","issn":["0090-3493","1530-0293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Critical Care Medicine","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2314672030","https://openalex.org/W2528522812","https://openalex.org/W2024305104","https://openalex.org/W4416729208","https://openalex.org/W2944262396","https://openalex.org/W2749534397","https://openalex.org/W4394064003","https://openalex.org/W1965697346","https://openalex.org/W6991764103","https://openalex.org/W2003613597"],"abstract_inverted_index":{"Introduction:":[0],"Current":[1],"pediatric":[2],"surgical":[3,325],"recommendations":[4,326],"include":[5],"intensive":[6],"care":[7,167],"unit":[8],"(ICU)":[9],"admission":[10,140,163,193],"for":[11,27,32,157,180,191,248,288,297,327],"patients":[12,96,175,186],"with":[13,58,111,121,216,237,273,278,293],"grade":[14,112,124,127,129,131,256,266,268,306],"3":[15],"and":[16,30,69,80,165,310],"higher":[17],"liver":[18,59,114,122,254,274],"lacerations.":[19],"Hypothesis:":[20],"The":[21,172],"majority":[22],"of":[23,75,100,107,184,317],"children":[24,50,110,272],"at":[25,97],"risk":[26,99],"delayed":[28,101,181,242],"bleeding":[29,102],"need":[31,156],"packed":[33],"red":[34],"blood":[35],"cell":[36],"(PRBC)":[37],"transfusion":[38,78,243,263,300,318],"can":[39],"be":[40,331],"identified":[41,48,136],"prior":[42,159,280],"to":[43,52,94,160,178,262,281],"ICU":[44,139,192,249,283,289,298,328],"admission.":[45,290],"Methods:":[46],"We":[47],"all":[49],"admitted":[51,177],"our":[53],"level":[54],"1":[55],"trauma":[56,71,161],"center":[57,162],"lacerations":[60,115,275],"from":[61,66],"2002-2010.":[62],"Data":[63,84],"were":[64,82,85,134,176,212,276],"abstracted":[65],"medical":[67],"records":[68],"the":[70,142,208,228,282,313,323],"registry.":[72],"Demographics,":[73],"severity":[74],"injury":[76,123,145,255],"measures,":[77],"data":[79],"outcomes":[81],"collected.":[83],"analyzed":[86],"comparing":[87],"summary":[88],"statistics.":[89],"Recursive":[90],"partitioning":[91],"was":[92,119,257,301],"used":[93],"predict":[95],"low":[98],"requiring":[103],"transfusion.":[104,217],"Results:":[105],"46":[106],"171":[108],"(27%)":[109],"3-6":[113],"received":[116,194],"PRBCs.":[117,195],"Transfusion":[118],"associated":[120,215],"(grade":[125,264],"3=16%,":[126],"4=27%,":[128],"5=45%,":[130],"6=100%).":[132],"Patients":[133],"sequentially":[135],"who":[137],"required":[138],"by":[141],"following":[143],"features:":[144],"induced":[146],"cardiac":[147],"arrest":[148],"(CA)":[149],"(n=4),":[150],"Glasgow":[151],"Coma":[152],"Score":[153],"<13":[154],"(n=26),":[155],"PRBCs":[158,279],"(n=10)":[164],"postoperative":[166],"after":[168],"emergency":[169,209],"surgery":[170],"(n=5).":[171],"remaining":[173],"126":[174,185],"monitor":[179],"bleeding.":[182],"7":[183],"(6%)":[187],"without":[188],"other":[189,286,295],"indications":[190,287],"In":[196],"this":[197,252],"subset,":[198,253],"a":[199,221,241],"prolonged":[200],"PT":[201,309],"(>14.4)":[202],"or":[203,224,284],"acidotic":[204],"pH":[205,311],"(<7.35)":[206],"in":[207,227,304,312],"department":[210],"(ED)":[211],"most":[213],"significantly":[214,260],"55":[218],"(44%)":[219],"had":[220,233,240,285],"least":[222],"one":[223],"both":[225],"abnormalities":[226],"ED":[229,314],"while":[230],"71":[231],"(56%)":[232],"neither.":[234],"No":[235],"child":[236],"normal":[238],"tests":[239],"(100%":[244],"negative":[245],"predictive":[246],"value":[247],"transfusion).":[250],"Within":[251],"no":[258,294],"longer":[259],"related":[261],"3=3%,":[265],"4=5%,":[267],"5=16%).":[269],"Conclusions:":[270],"Most":[271],"transfused":[277],"Among":[291],"those":[292],"indication":[296],"care,":[299],"uncommon":[302],"even":[303],"high":[305],"injuries.":[307],"Normal":[308],"predicted":[315],"lack":[316],"need.":[319],"Given":[320],"these":[321],"observations,":[322],"current":[324],"observation":[329],"may":[330],"overly":[332],"conservative.":[333]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2016-06-24T00:00:00"}
