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This research was funded by the University of La Rioja. PI Improvent Plan.

Analysis of institutional authors

Quintana-Diaz, MCorresponding Author
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Epidemiology and Associated Factors in Transfusion Management in Intensive Care Unit

Publicated to:Journal of Clinical Medicine. 11 (12): 3532- - 2022-06-01 11(12), DOI: 10.3390/jcm11123532

Authors: Juarez-Vela, Raul; Andres-Esteban, Eva Maria; Santolalla-Arnedo, Ivan; Ruiz de Vinaspre-Hernandez, Regina; Benito-Puncel, Carmen; Serrano-Lazaro, Ainhoa; Marcos-Neira, Pilar; Lopez-Fernandez, Alba; Tejada-Garrido, Clara Isabel; Sanchez-Gonzalez, Juan Luis; Quintana-Diaz, Manuel; Garcia-Erce, Jose Antonio

Affiliations

Autonomous Univ Madrid, Doctoral Programme Med & Surg, Fac Med, Madrid 28049, Spain - Author
Clin Hosp Valencia, Intens Care Unit, Valencia 46010, Spain - Author
Govt Navarra, Bank Blood & Tissue Navarra, Pamplona 31008, Spain - Author
Hosp Badalona Germans Trias & Pujol, Intens Care Unit, Badalona 08916, Spain - Author
Hosp Guadalajara, Intens Care Unit, Guadalajara 19002, Spain - Author
Res Inst IdiPaz, Madrid 28029, Spain - Author
Rey Juan Carlos Univ, Fac Legal & Econ Sci, Dept Business Econ & Appl Econ, Madrid 28933, Spain - Author
Univ Hosp La Paz, Intens Care Unit, Madrid 28046, Spain - Author
Univ La Rioja, Dept Nursing, GRUPAC, Logrono 26004, Spain - Author
Univ Salamanca, Dept Nursing & Physiotherapy, Salamanca 37007, Spain - Author
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Abstract

Severe traumatic injury is one of the main global health issues which annually causes more than 5.8 million worldwide deaths. Uncontrolled haemorrhage is the main avoidable cause of death among severely injured individuals. Management of trauma patients is the greatest challenge in trauma emergency care, and its proper diagnosis and early management of bleeding trauma patients, including blood transfusion, are critical for patient outcomes. Aim: We aimed to describe the epidemiology of transfusion practices in severe trauma patients admitted into Spanish Intensive Care Units. Material and Methods: We performed a multicenter cross-sectional study in 111 Intensive Care Units across Spain. Adult patients with moderate or severe trauma were eligible. Distribution of frequencies was used for qualitative variables and the mean, with its 95% CI, for quantitative variables. Transfusion programmes, the number of transfusions performed, and the blood component transfused were recorded. Demographic variables, mortality rate, hospital stay, SOFA-score and haemoglobin levels were also gathered. Results: We obtained results from 109 patients. The most transfused blood component was packet red blood cells with 93.8% of total transfusions versus 43.8% of platelets and 37.5% of fresh plasma. The main criteria for transfusion were analytical criteria (43.75%), and acute anaemia with shock (18.75%) and without haemodynamic impact (18.75%). Conclusion: Clinical practice shows a ratio of red blood cells, platelets, and Fresh Frozen Plasma (FFP) of 2:1:1. It is necessary to implement Massive Transfusion Protocols as they appear to improve outcomes. Our study suggests that transfusion of RBC, platelets and FFP in a 2:1:1 ratio could be beneficial for trauma patients.

Keywords
haemoglobinmanagementAnemiaBlood-cell transfusionCritically-illGuidelinesHaemoglobinInjuryManagementMassive transfusionMortalityRatioSevere traumaTransfusionUpdate

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal of Clinical Medicine due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2022, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine (Miscellaneous).

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.6, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions May 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-05-21, the following number of citations:

  • Scopus: 3
  • OpenCitations: 2
Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-05-21:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 17 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

    It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

    • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
    Leadership analysis of institutional authors

    There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Juarez-Vela, R) .

    the author responsible for correspondence tasks has been QUINTANA DIAZ, MANUEL.