From: Thrombelastometry guided blood-component therapy after cardiac surgery: a randomized study
Variables | CONTROL | ROTEMĀ® | p-value |
---|---|---|---|
Perioperative details | |||
āNumber, n (%) | 52 (50) | 52 (50) | Ā |
āCPB time [min.] | 109.2āĀ±ā74.6 | 119.8āĀ±ā60.6 | 0.44 |
āCross-clamp time [min] | 71.5āĀ±ā51.0 | 77.3āĀ±ā39.5 | 0.33 |
āHeparine dosage [IU] | 28,249.0āĀ±ā10,419.0 | 33,364.6āĀ±ā12,000.3 | 0.01 |
āProtamine dosage [IU] | 28,580.0āĀ±ā9165.4 | 28,851.1āĀ±ā8257.4 | 0.47 |
RBCs [units] | 1.1āĀ±ā1.7 | 1.0āĀ±ā1.9 | 0.48 |
FFPs [units] | 0.9āĀ±ā1.7 | 0.5āĀ±ā1.1 | 0.38 |
Platelet concentrates [units] | 0.1āĀ±ā0.5 | 0.2āĀ±ā0.5 | 0.97 |
Fibrinogen [g] | 0.1āĀ±ā0.6 | 0.1āĀ±ā0.4 | 0.71 |
PPSB [IU] | 137.3āĀ±ā566.4 | 135.4āĀ±ā422.0 | 0.50 |
AT3 [IU] | 137.3āĀ±ā566.4 | 83.3āĀ±ā331.6 | 0.72 |
Aprotinin, [Mio IU] | 0.3āĀ±ā0.7 | 1.1āĀ±ā7.2 | 0.09 |
Tranexamic acid [g] | 1.6āĀ±ā1.5 | 1.9āĀ±ā1.5 | 0.22 |
ACT (prior to ICU transfer) [sec] | 135.4āĀ±ā16.5 | 132.3āĀ±ā20.3 | 0.09 |
Hct (prior to ICU transfer) [%] | 28.9āĀ±ā3.9 | 28.6āĀ±ā4.1 | 0.70 |
Temperature (prior to ICU transfer) [Ā°C] | 36.3 [36.0;36.6] | 36.4 [35.9;36.6] | 0.78 |
Postoperative - ICU | |||
āRBCs [units] | 5.2ā+ā8.1 | 4.4ā+ā3.7 | 0.73 |
āFFPs [units] | 3.2āĀ±ā4.7 | 2.2āĀ±ā4.1 | 0.17 |
āPlatelet concentrates [units] | 0.7āĀ±ā1.1 | 0.4āĀ±ā0.8 | 0.16 |
āFibrinogen [g] | 0.2āĀ±ā0.6 | 0.8āĀ±ā1.1 | 0.01 |
āPPSB [IU] | 58.8āĀ±ā420.1 | 81.6āĀ±ā399.8 | 0.61 |
āAT3 [IU] | 19.6āĀ±ā140.0 | 20.4āĀ±ā142.9 | 1.00 |
āAprotinin [Mio IU] | 0.5āĀ±ā0.9 | 0.1āĀ±ā0.4 | 0.01 |
āTranexamic acid [g] | 0.1āĀ±ā0.4 | 0.0āĀ±ā0.3 | 1.00 |
Blood loss within first 24āh [ml] | 1867.4āĀ±ā827.4 | 1599.1āĀ±ā834.3 | 0.07 |
Re-thoracotomy, n (%) | 15 (29) | 13 (25) | 0.83 |
30-day mortality, n (%) | 4 (8) | 1 (2) | 0.17 |
5-year mortality, n (%) | 6 (12) | 2 (4) | 0.14 |