AI Article Synopsis
- - The use of point-of-care devices like ROTEM can quickly detect blood clotting issues in trauma patients, potentially preventing deaths from uncontrolled bleeding and coagulopathy.
- - A study analyzing data from over 7,400 severely injured patients revealed that those using ROTEM had lower mortality rates and received more haemostatic medications and blood transfusions compared to those who did not use ROTEM.
- - While the findings suggest benefits of ROTEM in trauma care, further prospective research is necessary to solidify evidence-based recommendations for its use.
Article Abstract
Introduction: Death from uncontrolled trauma haemorrhage and subsequent trauma-induced coagulopathy (TIC) is potentially preventable. Point-of-care devices such as rotational thromboelastometry (ROTEM) are advocated to detect haemostatic derangements more rapidly than conventional laboratory diagnostics. Regarding reductions in RBC transfusion, the use of ROTEM has been described as being efficient and associated with positive outcomes in several studies.
Objective: The effect of ROTEM use was assessed on three different outcome variables: (i) administration of haemostatics, (ii) rate of RBC transfusions and (iii) mortality in severely injured patients.
Methods And Material: A retrospective analysis of a large data set of severely injured patients collected into the TraumaRegister DGU between 2009 and 2016 was conducted. The data of 7461 patients corresponded to the inclusion criteria and were subdivided into ROTEM-using and ROTEM-non-using groups. Both groups were analysed regarding (i) administration of haemostatics, (ii) rate of RBC transfusions and (iii) mortality.
Results: A lower mortality rate in ROTEM-using groups was observed ( = 0.043). Furthermore, more patients received haemostatic medication when ROTEM was used. In ROTEM-using groups, there was a statistically relevant higher application of massive transfusion.
Conclusions: In this retrospective study, the use of ROTEM was associated with reduced mortality and an increased application of haemostatics and RBC transfusions. Prospective evidence is needed for further evidence-based recommendations.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605144 | PMC |
| http://dx.doi.org/10.3390/jcm11206150 | DOI Listing |
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