Table 1.
Reference | Design | Population/Years of enrollment | Patients/Centers | Age (years) | Male, n (%) | Technique (TEG®/ROTEM®) | Intervention |
---|---|---|---|---|---|---|---|
Kaufmann 1997 [9] | Prospective | ISS 12.3b | 69/1 | 40.0b | 41 (59.4%) | TEG® - 37°C | None |
1994 - 1995 | Whole blood | ||||||
Celite activated | |||||||
Watts 1998 [10] | Prospective | ISS 16.6b | 112/1 | 36.4b | 76 (68.0%) | TEG® - patient’s T | None |
1996 - 1997 | Citrated blood recalcified | ||||||
Schreiber 2005 [11] | Prospective | ISS 23.0a | 65/1 | 42.0b | 45 (69.0%) | TEG® - 37°C | None |
Years not reported | Whole blood | ||||||
Kaolin activated | |||||||
Rugeri 2007 [12] | Prospective | ISS 22.0a | 88/1 | 34.0b | 68 (77.2%). | ROTEM® - 37°C | None |
2004 | Citrate blood, recalcified | ||||||
Ellagic acid and TF | |||||||
Nekludov 2007 [13] | Prospective | ISS TBI: 33.0a | 47/1 | TBI: 42.0a | 19 (95.0%) | TEG® - 37°C | None |
ISS general: 46.0a 2006 | Trauma: 36.0a | Citrated blood, recalcified | |||||
Kaolin added | |||||||
Levrat 2008 [14] | Prospective | ISS HF: 38.0a | 87/1 | HF: 29.0a | HF: 64 (78.0%) | ROTEM® - 37°C | None |
ISS non HF: 20.0a | No HF: 30.0a | No HF: 4 (80.0%) | Citrated blood, recalcified | ||||
2004 | Ellagic acid or TF | ||||||
Park 2008 [57] | Prospective | ISS 23.0b | 58/1 | 47.0b | 44 (76%) | TEG® - patient’s T | None |
2004-2005 | Citrated blood, recalcified | ||||||
Added TF | |||||||
Plotkin 2008 [15] | Retrospective | ISS 21.0b | 44/1 | Not reported | Not reported | TEG® - patient’s T | None |
2004 | Fresh blood | ||||||
Celite 1% added | |||||||
Carroll 2009 [16] | Prospective | ISS 20.0a | 161/1 | 42.0a | 118 (73.0%) | TEG® - patient’s T | None |
Years not reported | Citrated blood | ||||||
Heparinized for PM | |||||||
Jeger 2009 [17] | Prospective | ISS 29.0a | 20/1 | 48.0a | 13 (65.0%). | r-TEG® and TEG® - 37°C | None |
Years not reported | Fresh blood | ||||||
TF added | |||||||
Kashuk 2009 [49] | Retrospective | ISS 29.0a | 44/1 | 38.9b | 32 (69.6%) | r-TEG® - 37°C | None |
2008 | Citrated and non-citrated | ||||||
r-TEG® solution | |||||||
Kashuk 2009 [18] | Retrospective | ISS Hypercoagulable: 26b
ISS Normal: 24.0b |
152/1 | Hypercoagulable: 45.0a
Normal group: 38.0a |
107 (70.5%) | r-TEG® - patient’s T Whole blood | None |
Years not reported | Added Kaolin and TF | ||||||
Park 2009 [19] | Prospective | ISS burn: 18.1b | 78/1 | Burn: 56.0b | Burn: 18 (72.0%) | TEG® - patient’s T | None |
ISS non burn: 21.7b 2004 – 2005 | Nonburn: 43.0b Controls: 37.3b | Nonburn: 26 (78.0%) Control: 11 (55.0%) |
Fresh blood TF added | ||||
Schöchl 2009 [58] | Prospective | ISS 42.0b | 33/1 | 45.0a | 22 (67.0%). | ROTEM® - 37°C | None |
2003 - 2007 | Citrated blood, recalcified | ||||||
TF added | |||||||
Doran 2010 [20] | Prospective | ISS MT: 35.0a | 25/1 | 21.0a | 25 (100.0%) | ROTEM® - 37°C | None |
ISS non MT: 20.0a | Citrated blood, recalcified | ||||||
2009 | |||||||
Kashuk 2010 [21] | Retrospective | ISS MT: 32.5a | 61/1 | 34.2b | Not reported | r-TEG® - patient’s T | None |
ISS ModT: 29.0a | Fresh whole blood | ||||||
ISS MinT: 34.0a | r-TEG® solution | ||||||
Years not reported | |||||||
Leemann 2010 [22] | Retrospective | ISS 31.1b | 53/1 | 39.6b | 40 (75.5%) | ROTEM® - 37°C | None |
2006 | Citrated blood, recalcified | ||||||
Ellagic acid or TF | |||||||
Schöchl 2010 [59] | Retrospective | ISS 38.0b | 131/1 | 46.0b | 96 (73.0%) | ROTEM® - 37°C | ROTEM® FC and PCC guided therapy |
2005 - 2009 | Citrated blood, recalcified | ||||||
Calcium chloride added | |||||||
Schöchl 2011 [23] | Retrospective | ISS survivors: 20.0a | 88/1 | 47.0a | 67 (76.0%) | ROTEM® - T not reported | None |
ISS nonsurvivors: 29.0a | Citrated blood, recalcified | ||||||
2005 - 2010 | TF, Kaolin, Cytochalasin | ||||||
Watters 2010 [24] | Prospective | ISS surgery: 35.3b | 80/1 | Surgery: 41.1b | 59 (73.7%) | TEG® - T not reported | None |
ISS control: 21.2b | Controls: 33.7b | No further details reported | |||||
Years not reported | |||||||
Cotton 2011 [25] | Prospective | ISS 14.0a | 272/1 | 34.0a | 201 (74.0%) | r-TEG® - T not reported | None |
2009 - 2010 | Citrated blood | ||||||
CaCl2, Kaolin and TF added | |||||||
Davenport 2011 [26] | Prospective | ISS 12.0a | 300/1 | 33.0a | 246 (82.0%) | ROTEM® - 37°C | None |
2007 - 2009 | Citrated blood, recalcified | ||||||
TF added | |||||||
Davenport 2011 [50] | Prospective | ISS 29.0a | 50/1 | 42.0a | 41 (82.0%) | ROTEM® - 37°C | None |
2007 - 2009 | Citrated blood, recalcified | ||||||
TF added | |||||||
Differding 2011 [27] | Prospective | ISS 20.0a | 46/1 | Patients: 48.0a | 23 (50.0%) | TEG® - 38, 36, 34, 32°C | None |
Years not reported | Controls: 38.0a | Citrated blood, recalcified | |||||
Kaolin solution added | |||||||
Jansen 2013 [28] | Prospective | ISS 19.0a | 10/1 | Not reported | Not reported | ROTEM® - 37°C | None |
2010 | Citrated blood, recalcified | ||||||
TF, Cytochalasin | |||||||
Nystrup 2011 [29] | Retrospective | ISS 21.0b | 89/1 | 39.0b | 59 (66.0%) | TEG® - T not reported | None |
2006 - 2007 | Citrated blood | ||||||
No further technical details | |||||||
Ostrowski 2011 [30] | Prospective | ISS 5–36 | 80/1 | 48.0b | 54 (67.6%) | TEG® - 37°C | None |
2010 | Citrated blood | ||||||
No further details reported | |||||||
Schöchl 2011 [51] | Retrospective | FC-PCC group: 35.5b | 681/2 | FC-PCC: 37.3b | 505 (74.1%) | ROTEM® - T not reported | PCC and FC guided by ROTEM®. Comparison with standard FFP transfusion |
FFP group: 35.2b | FFP: 39.0b | No technical details reported | |||||
2006 - 2009 | |||||||
Schöchl 2011 [31] | Retrospective | MT group: 27.0a | 323/1 | 44.0a | 255 (78.9%) | ROTEM® - T not reported | None |
Non MT group: 42.0a | Citrated blood, recalcified | ||||||
2005 - 2010 | Kaolin, TF, Cytochalasin | ||||||
Tauber 2011 [32] | Prospective | ISS 34.0a | 334/1 | 43.0a | 260 (77.8%) | ROTEM® - T not reported | FFP, PLT, FC and PCC guided by ROTEM®. |
2005 - 2008 | No further technical details | ||||||
Theusinger 2011 [60] | Retrospective | ISS trauma HF: 55b | 35/1 | 55.0b | 26 (74.2%) | ROTEM® - T not reported | None |
Non trauma HF: 43b | No further technical details | ||||||
2008 - 2010 | |||||||
Cotton 2012 [33] | Prospective | ISS HF: 25.0a | 1996/1 | HF group: 29.0a | HF: 27 (67.0%) | r-TEG® - 37°C | None |
ISS non HF: 16.0a | No HF: 33.0a | Non HF: 1466 (75.0%) | Citrated blood, recalcified | ||||
2009 - 2010 | Kaolin and TF added | ||||||
Cotton 2012 [34] | Retrospective | ISS PE: 31.0a | 2067/1 | PE: 41.0a | PE group: 36 (69.0%) | r-TEG® - T not reported | None |
ISS no PE: 19.0a | No PE: 33.0a | No PE: 1530 (76%) | Citrated blood | ||||
2009 – 2011 | Na Chloride, TF, Kaolin | ||||||
Davis 2013 [61] | Prospective | ISS 25.0a | 50/2 | 48.5a | 36 (72.0%) | TEG®. TEG®-PM - 37°C Activation solution added Heparinized blood |
None |
Years not reported | |||||||
ADP, AA and Kaolin | |||||||
Holcomb 2012 [35] | Retrospective | ISS 17.0a | 1974/1 | 33.0a | 1480 (75.0%) | r-TEG® - T not reported | None |
2009 - 2011 | Citrated blood | ||||||
CaCl2, kaolin and TF added | |||||||
Ives 2012 [36] | Prospective | ISS dead: 26.4a | 118/1 | Dead: 34.8b | 91 (77.1%) | TEG®, T not reported | None |
ISS alive: 14.8a | Alive: 36.7b | Citrated blood | |||||
2010 - 2011 | Kaolin and CaCl2 added | ||||||
Jeger 2012 [52] | Prospective | ISS 18.0b | 76/1 | 49.0b | 55 (72.0%) | r-TEG® - 37°C | Physicians blinded to TEG® Transfusion guided clinically and with RSCT results. |
2009 - 2010 | TF, Kaolin added | ||||||
Citrated blood, recalcified | |||||||
Kashuk 2012 [37] | Before and after study | ISS 0–25: 9% | 68/1 | r-TEG®: 33.3b | r-TEG®: 29 (85.0%) | r-TEG® - patient’s T | TEG® guided resuscitation implemented and compared with the pre TEG® period |
ISS 26–35: 29% | TEG®: 40.5b | TEG®: 25(74.0%) | Fresh blood | ||||
ISS ≥ 36: 62% | Kaolin, TF, stabilizers added | ||||||
Over 7 months | |||||||
Years not reported | |||||||
Kunio 2012 [62] | Prospective | ISS 21.0a | 69/1 | 46.0a | 56 (81.2%) | TEG® - T not reported | None |
2010 - 2011 | Fresh whole blood non Citrated and Kaolin activated | ||||||
Kutcher 2012 [38] | Prospective | ISS 22.0b | 115/1 | 40.8b | Not reported | ROTEM® - 37°C | None |
2011 - 2012 | Citrated whole blood | ||||||
TF and aprotinin added | |||||||
Nascimento 2012 [39] | Retrospective | ISS 26.0b | 219/1 | 39.0b | 154 (69.0%) | TEG® - 37°C | None |
2007 | Citrated blood | ||||||
Kaolin, stabilizers added | |||||||
Ostrowski 2012 [53] | Prospective | ISS heparinized: 31.0a | 77/1 | Heparin: | 53 (68.8%) | TEG® - 37°C | None |
ISS non heparin: 17.0a | 74.0a | Citrated whole blood | |||||
2010 | Noneparin: | Kaolin TEG®, heparinase TEG® | |||||
44.0a | |||||||
Pezold 2012 [54] | Retrospective | ISS 29.0b | 80/1 | 34.0b | 65 (81.0%) | r- TEG® - 37°C | None |
2008 - 2010 | Fresh whole blood | ||||||
Kaolin and TF added | |||||||
Raza 2013 [55] | Prospective | ISS 10.0a | 288/1 | 37.0a | 236 (81.9%) | ROTEM® - 37°C | None |
2007 - 2009 | Citrated blood, added TF Antifibrinolytic, CaCl2 or Aprotinin | ||||||
Rourke 2012 [40] | Prospective | ISS 34.0a | 517/2 | 36.0a | 405 (78.0%) | ROTEM® - 37°C | Pre-fixed MTP, including administration of RBC, FFP, PLT, CRYO and FC and ex vivo FC |
2008 - 2010 | Citrated blood | ||||||
Recalcified | |||||||
Wohlauer 2012 [41] | Prospective | ISS 19.0b | 51/2 | 44.0b | 32 (63.0%) | TEG® - 37°C | None |
Years nor reported | Citrated whole blood | ||||||
Kaolin TEG®, AA and ADP TEG®-PM | |||||||
Woolley 2013 [42] | Prospective | ISS not reported | 48/1 | 24.0a | Not reported | ROTEM® - T not reported | None |
2009 | Citrated blood, recalcified | ||||||
Added TF, Cytochalasin | |||||||
Chapman 2013 [43] | Prospective | Non TEG®: 18.3a | 304/1 | Non TEG®: 35.1a | Non TEG®: 168 (64.0%) | r-TEG® - patient’s T | None |
TEG®: 33.2a | TEG®: 37.7a | TEG®: 29 (69.0%) | Fresh whole blood | ||||
2009 - 2012 | Kaolin and TF added | ||||||
Chapman 2013 [56] | Prospective | ISS 30.0a | 289/1 | 43.0b | 196 (68.0%) | TEG® - T not reported | None |
2010 - 2012 | Citrated blood, recalcified | ||||||
Kaolin, stabilizers added | |||||||
Harr 2013 [44] | Prospective | ISS 23.5a | 68/1 | 38.0b | 45 (66.0%) | TEG® - 37°C | None |
Citrated blood, recalcified | |||||||
Kaolin, stabilizers added | |||||||
Johansson 2013 [45] | Prospective | ISS 17.0b | 182/1 | 43.0b | 136 (75.0%) | TEG® - 37°C | MTP (1:1:1 ratio) initially and guided by TEG® thereafter. Also TXA, CRYO and FC administered. |
2010 - 2011 | Citrated blood, recalcified | ||||||
Kaolin and TF activated and Functional fibrinogen test | |||||||
Lee 2013 [46] | Prospective | ISS 17.0b 2010 - 2012 | 190/1 | 43.0b | 136 (71.6%) | TEG®, r-TEG® - T not reported | None |
Citrated blood, recalcified | |||||||
Kaolin and TF activated | |||||||
Tapia 2013 [63] | Before and after study | ISS 25.0b | 289/1 | 35.0b | 251 (86.8%) | TEG® - 37°C | TEG® guided resuscitation pre MTP and guided by MTP without TEG® thereafter |
2008 - 2010 | Whole blood | ||||||
Celite activated | |||||||
Kornblith 2014 [47] | Prospective | ISS 9.0a | 251/1 | 35.0a | 202 (80.7%) | TEG® - 37°C | None |
Years not reported | Citrated blood, recalcified | ||||||
Kaolin and TF activated and functional fibrinogen test | |||||||
Branco 2014 [48] | Prospective | ISS 1 - 51 | 118/1 | 36.9b | 97 (77.1%) | TEG® - T not reported | None |
2011 | Citrated blood, recalcified | ||||||
Kaolin added |
aMedian, AA – arachidonic acid, ADP – adenosine diphosphate, AIS – abbreviated injury score, bMean, CaCl2 – calcium chloride, CRYO – cryoprecipitate, DVT – deep vein thrombosis, FC – fibrinogen concentrate, FFP – fresh frozen plasma, GCS – Glasgow Coma Scale, HCR – hemostatic control resuscitation, HF – hyperfibrinolysis, ISS – injury severity score, LMWH – low molecular weight heparin, MinT – minimal transfusion, ModT – moderate transfusion, MT – massive transfusion, MTP – massive transfusion protocol, Na – sodium, PCC – prothrombin complex concentrate, PE – pulmonary embolism, PLT – platelets, PM – platelet mapping, RBC – red blood cells, ROTEM® - rotational thromboelastometry, RSCT – routine screening coagulation tests, r-TEG® - rapid thromboelastography, TBI – traumatic brain injury, TEG® - thromboelastography, TF – tissue factor, TXA – tranexamic acid.