At a glance
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Association Between Viscoelastic Tests-Guided Therapy With Synthetic Factor Concentrates And Allogenic Blood Transfusion In Liver Transplantation: A Before-After Study
In Brief
A clinical study evaluating Usual Care and Thromboelastometry-Guided Therapy with Synthetic Factor Concentrates for Liver Transplant; Complications and 2 related conditions. Completed, enrolled 237 participants.
Detailed Summary
BACKGROUND: Perioperative bleeding and transfusion are important causes of morbidity and mortality in patients undergoing liver transplantation. The aim of this study is to assess whether viscoelastic tests-guided therapy with the use of synthetic factor concentrates impact transfusion rates of hemocomponents in adult patients undergoing liver transplantation. METHODS: This is an interventional before-after comparative study. Patients undergoing liver transplantation before the implementation of a protocol using thromboelastometry and synthetic factor concentrates were compared to patients after the implementation. Primary outcome was transfusion of any hemocomponents. Secondary outcomes included: transfusion of red blood cells (RBC), fresh frozen plasma (FFP), cryoprecipitate or platelets, clinical complications, length of stay and in-hospital mortality.
Study Details
Timeline
Interventions
Treatment of Coagulation Disorders Using Standard Coagulation Tests and Blood Components
Thromboelastometry-Guided Treatment of Coagulation Disorders Using Synthetic Factor Concentrates