| Literature DB >> 28661856 |
Carlo Mengoli1, Massimo Franchini1,2, Giuseppe Marano1, Simonetta Pupella1, Stefania Vaglio1,3, Marco Marietta4, Giancarlo M Liumbruno1.
Abstract
Haemorrhage following injury is associated with significant morbidity and mortality. The role of fibrinogen concentrate in trauma-induced coagulopathy has been the object of intense research in the last 10 years and has been systematically analysed in this review. A systematic search of the literature identified six retrospective studies and one prospective one, involving 1,650 trauma patients. There were no randomised trials. Meta-analysis showed that fibrinogen concentrate has no effect on overall mortality (risk ratio: 1.07, 95% confidence interval: 0.83-1.38). Although the meta-analytic pooling of the current literature evidence suggests no beneficial effect of fibrinogen concentrate in the setting of severe trauma, the quality of data retrieved was poor and the final results of ongoing randomised trials will help to further elucidate the role of fibrinogen concentrate in traumatic bleeding.Entities:
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Year: 2017 PMID: 28661856 PMCID: PMC5490726 DOI: 10.2450/2017.0094-17
Source DB: PubMed Journal: Blood Transfus ISSN: 1723-2007 Impact factor: 3.443