Table 1.
Clinical profile of patients at the time of admission/at the onset of massive transfusion and after massive transfusion compared between retrospective controls (Group A) and thromboelastography-guided transfusion support group (Group B)
Normal values | Overall | At the time of admission | Postmassive transfusion | |||||
---|---|---|---|---|---|---|---|---|
|
|
|||||||
Group A | Group B | P | Group A | Group B | P | |||
Demographic details | ||||||||
Age, mean±SD | 42.7±16.3 | 43.7±16.9 | 41.7±15.7 | 0.37 | ||||
Male (%) | 14565.3 | 7566.3 | 7064.2 | 0.42 | ||||
Female (%) | 7734.7 | 3833.6 | 3935.7 | |||||
Hypotension (mmHg) (%) | SBP <90, DBP <60 | 11350.9 | 6456.6 | 4945 | 0.05 | |||
Tachycardia (beats/min) (%) | HR >100 | 10346.3 | 5548.7 | 4844 | 0.08 | |||
Hematologic parameters, mean±SD | ||||||||
Hemoglobin (g/dL) | 13–17 | 9.04±2.7 | 9.05±2.7 | 9.03±2.9 | 0.57 | 9.07±1.8 | 9.98±2.5 | 0.007 |
Hematocrit (%) | 40–50 | 27.5±9.3 | 27.1±8.1 | 27.8±10.4 | 0.29 | 26.2±5.4 | 29.3±8.05 | 0.003 |
Platelet count (/µL) | 150000–450000 | 206235±127166 | 206281±121592 | 206188±133219 | 0.23 | 147000±122858 | 119865±63029 | 0.08 |
WBC (/µL) | 4000–1000 | 16299±9194 | 16919±9209 | 15672±9184 | 0.92 | 13108±6230 | 14835±22087 | 0.54 |
Biochemistry parameter, mean±SD | ||||||||
pH | 7.35–7.46 | 7.19±0.22 | 7.10±0.23 | 7.27±0.17 | 0.01 | 7.14±0.19 | 7.27±0.18 | <0.001 |
Na+ (mmol/L) | 136–146 | 137.1±7.3 | 136.2±7.9 | 138±6.6 | 0.06 | 136.6±7.4 | 137.5±12.8 | 0.58 |
K+ (mmol/L) | 3.4–4.5 | 4.14±0.23 | 4.1±0.9 | 4.1±1 | 0.75 | 3.9±1 | 4.3±1.69 | 0.09 |
HCO3− (mmol/L) | 23–29 | 16.47±5.2 | 15.6±5.7 | 17.2±4.6 | 0.05 | 17.41±7.4 | 17.41±5.2 | 0.99 |
Cl− (mmol/L) | 98–106 | 103.7±6.8 | 103.7±8.7 | 103.7±5.1 | 0.98 | 105.9±9.5 | 102.4±13.6 | 0.10 |
Ca2+ (mmol/L) | 2.2–2.7 | 0.9±0.1 | 0.8±0.1 | 1.0±0.1 | 0.72 | 0.86±0.2 | 1.09±0.50 | 0.10 |
Base excess (mmol/L) | −3–+3 | −10.41±7.46 | −11±8.31 | −9.2±6.3 | 0.04 | −9.4±7.4 | −7.9±7.1 | 0.35 |
Coagulation parameters, mean±SD | ||||||||
PT (s) | 9.6–12.5 | 22.7±24.8 | 23.6±25.9 | 22±24 | 0.55 | 14.7±7.2 | 15.07±6.29 | 0.82 |
aPTT (s) | 26.8–33.2 | 45.3±30.9 | 45.5±30.7 | 45±31.1 | 0.94 | 38.2±22.6 | 35.9±18.7 | 0.56 |
Fibrinogen (mg/dL) | 200–400 | 126±107.9 | 122.2±133.4 | 128.8±87.5 | 0.15 | 219±161.7 | 267.1±160.7 | 0.31 |
SD=Standard deviation, WBC=White blood cells, aPTT=Activated partial thromboplastin time, PT=Prothrombin time, DBP=Diastolic blood pressure, SBP=Systolic blood pressure