Clotting Factor Deficiency in Early Trauma-Associated Coagulopathy

作者: Sandro B. Rizoli , Sandro Scarpelini , Jeannie Callum , Bartolomeu Nascimento , Kenneth G. Mann

DOI: 10.1097/TA.0B013E318232E5AB

关键词: GastroenterologyCoagulopathySurgeryMedicineInternal medicineProthrombin timeClotting factorInjury Severity ScoreProspective cohort studyProtein CCoagulation Protein DisordersFresh frozen plasma

摘要: Background Coagulopathic bleeding is a leading cause of in-hospital death after injury. A recently proposed transfusion strategy calls for early and aggressive frozen plasma to trauma patients, thus addressing trauma-associated coagulopathy (TAC) by transfusing clotting factors (CF). This may dramatically improve survival patients. However, other studies suggest that TAC occurs protein C activation independent CF deficiency. The present study investigated whether deficiency associated with coagulopathy.

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