TABLE 1.
Demographics and Outcomes
| Demographics | Pre-ROTEM | Post-ROTEM | p |
|---|---|---|---|
| Transfused patients % (n) | 21% (134) | 26% (85) | 0.10 |
| Mean age, y | 24 [21–29] (131) | 25 [21–29] (84) | 0.29 |
| Sex: males % (n) | 93% (124) | 95% (81) | 0.57 |
| Penetrating trauma | 81% (109/134) | 91% (77/85°) | 0.08 |
| Blunt trauma | 16% (21/134) | 8% (7/85) | 0.14 |
| ISS | 21 [14–29] (134) | 24 [17–35] (85) | 0.11 |
| ISS≥15 %(n) | 75% (100) | 79% (67) | 0.52 |
| Shocked patients BD≥5 % (n) | 27% (40/117) | 17% (16/70) | 0.14 |
| Mean BD in shocked patient | 7.0 [6–8.8] | 8.0 [5.3–11.8] | 0.45 |
| Mean INR (n) | 1.2 [1–1.3] (107) | 1.2 [1–1.4] (46) | 0.40 |
| CoT patients INR≥1.2% (n) | 50% (54/107) | 61% (28/46) | 0.74 |
| Mean INR in CoT patients | 1.3 [1.2–1.6] | 1.4 [1.2–1.5] | 0.74 |
| Admit hematocrit, % (n) | 36.4 [31–41.3] (110) | 37.5 [34–43.2] (49) | 0.09 |
| Admit PLT count, × 103 (n) | 203 [145–272] (107) | 160 [132–229] (46) | 0.10 |
| Massive transfusions, % (n) | 5% (7/134) | 6% (5/85) | 0.55 |
| Outcomes | Pre-ROTEM | Post-ROTEM | p |
| Hospital days (n) | 2 [1–7] (134) | 2 [1–3] (85) | 0.07 |
| ICU days (n) | 1 [1–3] (134) | 1 [1–3] (85) | 0.70 |
| Ventilation-free days (n) | 1 [0–4] (134) | 0 [0–2] (85) | 0.16 |
| Overall mortality % (n) | 5.2% (7/134) | 4.7% (4/85) | 1.00 |
| Blunt injury mortality, % (n) | 4.8% (1/21) | 14% (1/7) | 0.44 |
| TRISS predicted blunt mortality % (n) | 1.7 (81) | 4.5 (52) | 0.56 |
| Penetrating injury mortality % (n) | 4.6% (5/109) | 3.9% (3/77) | 1.00 |
| TRISS predicted penetrating % (n) | 2.1 (81) | 4.6 (52) | 0.64 |
All values documented are MEDIAN [IQR] (n of observations) unless otherwise specified.
BD, base deficit; CoT, coagulopathy of trauma as defined as admission INR > 1.2, ED, emergency department or arrival information, ICU, intensive care unit.