Comparison Between Thromboelastography and Conventional Coagulation Test: Should We Abandon Conventional Coagulation Tests in Polytrauma Patients?

Publication date: Available online 8 August 2018Source: Cirugía Española (English Edition)Author(s): Jaume Tur Martínez, Patrizio Petrone, Alexander Axelrad, Corrado P. MariniAbstractIntroductionThromboelastography (TEG) provides an in vivo assessment of viscoelastic clot strength in whole blood compared with a conventional coagulation test (CCT), which may not reflect the influence of platelets. The aim of this study was to compare TEG vs CCT in trauma patients stratified by mechanism of injury (MOI) and pre-existing coagulation status.MethodsA retrospective, observational study of 230 polytrauma patients admitted to a University Hospital Level 1 Trauma Center, with TEG and CCT on admission stratified by MOI: multiple trauma (MT), isolated traumatic brain injury (TBI) or MT + TBI. Statistical analysis included correlation between TEG and CCT in all groups and a subgroup analysis of anticoagulated patients. Data were analyzed with ANOVA, Spearman and lineal regression when appropriate. Statistical significance was accepted at P 
Source: Cirugia Espanola - Category: Surgery Source Type: research

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Source: Drug Development and Industrial Pharmacy - Category: Drugs & Pharmacology Tags: Drug Dev Ind Pharm Source Type: research
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