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Utility of viscoelastic hemostatic assay to guide hemostatic resuscitation in trauma patients: a systematic review.


ABSTRACT:

Objective

Viscoelastic hemostatic assay (VHA) provides a graphical representation of a clot's lifespan and reflects the real time of coagulation. It has been used to guide trauma resuscitation; however, evidence of the effectiveness of VHAs is still limited. This systematic review aims to summarize the published evidence to evaluate the VHA-guided strategy in resuscitating trauma patients.

Methods

The PubMed, Embase, and Web of Science databases were searched from their inception to December 13, 2021. Randomized controlled trials (RCTs) or observational studies comparing VHA-guided transfusion to controls in resuscitating trauma patients were included in this systematic review.

Results

Of the 7743 records screened, ten studies, including two RCTs and eight observation

SUBMITTER: Zhu Z 

PROVIDER: S-EPMC9472418 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature