Thromboelastometry-guided haemostatic resuscitation in severely injured patients: a propensity score-matched study.

ABSTRACT:

Background

To accelerate the diagnosis and treatment of trauma-induced coagulopathy (TIC), viscoelastic haemostatic assays (VHA) are increasingly used worldwide, although their value is still debated, with a recent randomised trial showing no improvement in outcome. The objective of this retrospective study was to compare 2 cohorts of injured patients in which TIC was managed with either a VHA-based algorithm or a conventional coagulation test (CCT)-based algorithm.

Methods

Data were retrieved from 2 registries and patients were included in the study if they received at least 1 unit of red blood cell in the first 24 h after admission. A propensity score, including sex, age, blunt vs. penetrating, systolic blood pressure, GCS, ISS and head AIS, admission lactate and PT_ra

SUBMITTER: David JS 

PROVIDER: S-EPMC10103518 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature