Balanced Component and Whole-Blood Transfusion Practices in US Trauma Centers

In this retrospective cohort study of trauma patients at risk of hemorrhagic shock, the use of balanced component and WB use increased from 2018 to 2024, reflecting increasing WB adoption. Substantial between-hospital variation persisted. These findings can inform evaluation of hospital-level variation and future implementation of balanced transfusion practices across trauma centers.

Corresponding Author: Pawan Acharya, PhD, MS, Department of Surgery, Division of Trauma and Acute Care Surgery, University of Alabama at Birmingham, 510 20th St S, Ste 710, Birmingham, AL 35233 (Pawanacharya@uabmc.edu).

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