Alexander A Hanke1,2, Jan Bartlau3, Felix Flöricke1, Michael Przemeck3, Hauke Horstmann4, Thomas S Weber-Spickschen5, Lion Sieg1, Carsten Schumacher1. 1. Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule, Hannover, Germany. 2. Institut für Sportsmedizin, Medizinische Hochschule, Hannover, Germany. 3. Department für Anästhesie und Intensivmedizin, DIAKOVERE Annastift, Hannover, Germany. 4. Department für Orthopädie, DIAKOVERE Annastift, Hannover, Germany. 5. Sportmedizin, Paracelsus Klinik, Bremen, Germany.
Abstract
OBJECTIVE: Perioperative coagulation monitoring and transfusions were evaluated. METHODS: 70 cases were included. Time points: before (PRE), after surgery (POST), day 1, day 3, day 7. Standard and patient near tests were assessed. Groups were: Transfused (TG); Control (CG). RESULTS: 23 patients were transfused (TG), 47 were not (CG). PRE haemoglobin was reduced, coagulation time (CT) was prolonged in TG. FIBTEM decrease was higher in TG. Leukocytes were elevated in TG. ASPI decreased, TRAP and ADP aggregability increased in both groups. CONCLUSION: CT, haemoglobin and fibrinogen were associated with transfusion. TRAP and ADP aggregability increased and could account for thromboembolism.
OBJECTIVE: Perioperative coagulation monitoring and transfusions were evaluated. METHODS: 70 cases were included. Time points: before (PRE), after surgery (POST), day 1, day 3, day 7. Standard and patient near tests were assessed. Groups were: Transfused (TG); Control (CG). RESULTS: 23 patients were transfused (TG), 47 were not (CG). PRE haemoglobin was reduced, coagulation time (CT) was prolonged in TG. FIBTEM decrease was higher in TG. Leukocytes were elevated in TG. ASPI decreased, TRAP and ADP aggregability increased in both groups. CONCLUSION: CT, haemoglobin and fibrinogen were associated with transfusion. TRAP and ADP aggregability increased and could account for thromboembolism.
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