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. 2014 Sep 27;18(5):518. doi: 10.1186/s13054-014-0518-9

Table 1.

Characteristics of the studies included in the systematic review

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.