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Table 3 Hematologic, coagulation standard and TEG parameters, and clinical bleeding as assessed by surgeon at baseline (T1), after bypass and administration of protamine (T2), at sternal closure (T3), and in ICU after 12 h (T4). Data are presented as median (range)

From: Prevention of postoperative bleeding after complex pediatric cardiac surgery by early administration of fibrinogen, prothrombin complex and platelets: a prospective observational study

 

T1

T2

T3

T4

P (T1 vs T2)

95%-CI for P (T1 vs T2)

P (T2 vs T3)

95%-CI for P (T2 vs T3)

Hb (g dl−1)

13.4 (8.2–18.4)

11.4 (8.5–15.8)

12.2 (9.3–16.9)

13.7 (9.5–17.8)

<  0.001

1.4 to 3.1

ns

 

Hct (%)

40.6 (25.2–55.1)

34.9 (24.1–48.5)

36.7 (28.5–49.0)

38.1 (26.9–52.5)

<  0.001

− 23.7 to 0.51

ns

 

PLT (109 L−1)

279 (155–621)

116 (68–266)

219 (112–329)

246 (123–380)

<  0.001

− 233 to − 169.5

<  0.001

83.9 to 121.

Quick (%)

92 (54–129)

49 (40–82)

85 (62–130)

83 (59–130)

<  0.001

− 44.1 to −33.8

<  0.001

28.6 to 37.9

aPTT (s)

32 (23–50)

41 (31–55)

38 (26–59)

31 (24–49)

ns

 

ns

 

ACT (s)

110 (91–148)

114 (91–146)

106 (79–138)

110 (89–126)

ns

 

ns

 

Fib (g L−1)

1.7 (0.9–3.3)

1.4 (0.3–2.2)

2.2 (1.5–3.5)

2.5 (1.3–3.8)

<  0.001

−0.49 to − 0.14

<  0.001

0.6 to 1.0

AT III (%)

89 (44–120)

67 (47–97)

67 (47–91)

76 (46–101)

<  0.001

−28.1 to − 14.3

ns

 

F II (%)

60 (32–94)

49 (34–87)

113 (70–170)

101 (62–167)

0.04

−12.5 to − 1.5

<  0.001

56.3 to 72.2

F V (%)

77 (57–121)

61 (37–81)

60 (32–89)

72 (33–148)

ns

 

ns

 

R (min)

6.9 (4.3–10.7)

10.0 (5.7–15.3)

7.9 (5.2–12.1)

7.2 (3.5–11.2)

<  0.001

1.9 to 3.1

<  0.001

−2.2 to −0.6

K (min)

1.5 (0.9–4.3)

2.8 (0.9–7.4)

1.8 (1.0–3.7)

1.2 (0.7–2.1)

<  0.001

0.7 to 1.5

<  0.001

−1.4 to −0.6

Angle (degree)

70.7 (48.4–77.8)

59.1 (38.0–77.4)

68.9 (56.9–77.8)

74.4 (63.9–81.7)

< 0.001

− 11.7 to −5.9

<  0.001

5.9 to 11.3

MA (mm)

59.0 (43.9–69.7)

48.9 (30.5–64.1)

62.0 (50.6–68.6)

64.3 (55–69.6)

< 0.001

−12.0 to – 7.3

< 0.001

9.1 to 13.5

MA-fib (mm)

19.6 (11.1–35.5)

13.2 (4.9–21.0)

29.1 (19.5–53.2)

32.0 (23.0–50.6)

<  0.001

−9.5 to −6.1

<  0.001

15.5 to 19.9

LY30 (%)

0.6 (0–5.1)

0.0 (0–3.2)

0.0 (0–3.8)

0.6 (0–2.7)

0.008

−1.1 to 0.2

ns

 

Bleeding (NRS 0–10)

 

6 (2–10)

2 (0–4)

   

<  0.001

−4.8 to −3.6

  1. Abbreviations: ns not significant, Hb haemoglobin, Hct haematocrit, PLT platelets, Quick Quick value of prothrombin time, aPTT activated partial thromboplastin time, ACT activated clotting time, Fib fibrinogen, AT III Antithrombin, F II factor II, F V factor V, R reaction time, K kinetic time, MA maximum amplitude, MA-fib maximum amplitude of functional fibrinogen, LY30 fibrinolysis at 30 min