Summary of findings'. 'Summary of findings table.
What is the test accuracy of thromboelastography (TEG) and rotational thromboelastometry (ROTEM) for trauma‑induced coagulopathy (TIC) in adult trauma patients with bleeding? | |||||
Patients | Adult trauma patients with bleeding at risk of TIC | ||||
Prior testing | None | ||||
Setting | Hospital; civilian or military | ||||
Index tests | Tests of global haemostatic function especially thromboelastography (TEG) and rotational thromboelastometry (ROTEM). Any device output measure considered |
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Reference standard |
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Study design | Cross‐sectional or case‐control test accuracy studies; all included studies were cross‐sectional | ||||
Test |
No of participants (no. of studies) |
Accuracy (sensitivity (95% CI)) |
Accuracy (specificity (95% CI)) |
Risk of bias | Implications |
ROTEM EXTEM Clot amplitude 5 minutes (CA5) | 409 (2) |
Davenport 2011a: 70% (47,87) Woolley 2012: 96% (88,100) |
Davenport 2011a: 86% (82,90) Woolley 2012: 58% (44,72) |
High | Accuracy estimates potentially misleading |
ROTEM EXTEM Clot amplitude 10 minutes (CA10) | 109 (1) | 100% (94,100) | 70% (56,82) | High | Accuracy estimates potentially misleading |
ROTEM EXTEM Clot amplitude 15 minutes (CA15) | 88 (1) | 88% (69,97) | 100% (94,100) | High | Accuracy estimates potentially misleading |
Concerns about risk of bias arose from consideration of the index test and the reference standard