Skip to main content
. 2021 Apr 1;4(4):e213936. doi: 10.1001/jamanetworkopen.2021.3936

Table 2. Details of Intervention, Laboratory Values, Bleeding Severity, and Hemostatic Therapies.

Variable PCC group (n = 54) FP group (n = 47) P value
Intervention details
Dosage of investigational product
Mean (SD) 25.9 (8.7) IU/kg 12.5 (7.4) mL/kg Not applicable
Median (IQR) 24.9 (21.8-27.0) IU/kg 12.5 (10.0-15.0) mL/kg
Doses of investigational product, No. (%) .25a
1 49 (90.7) 38 (80.9)
2 5 (9.3) 9 (19.1)
Time from start of surgery to order of first dose, median (IQR), h 5.2 (4.2-5.9) 5.0 (4.3-5.4) .29b
Time from end of CPB to administration of first dose, median (IQR), h 1.0 (0.5-1.5) 1.2 (0.8-1.5) .19b
Time from administration of first dose to leaving the operating room, hc .83b
No. 51 43
Median (IQR) 1.1 (0.7-1.6) 1.2 (0.7-1.9)
Laboratory values
Hemoglobin, g/dL
Intraoperative nadir .18d
No. 54 47
Mean (SD) 8.3 (1.4) 7.9 (1.3)
Intraoperative post-CPB .20d
No. 54 46
Mean (SD) 10.0 (1.3) 9.7 (1.3)
Day of surgery (last recorded value) <.001d
No. 53 47
Mean (SD) 10.7 (1.6) 9.5 (1.3)
Postoperative day 1 (last recorded value) .33d
No. 53 47
Mean (SD) 9.4 (1.4) 9.1 (1.2)
Platelet count, ×103/µL
Intraoperative post-CPB .29d
No. 53 43
Mean (SD) 116 (36) 125 (43)
Day of surgery (last recorded value) .09d
No. 52 47
Mean (SD) 168 (51) 152 (42)
Postoperative day 1 (last recorded value) .63d
No. 53 47
Mean (SD) 153 (56) 148 (52)
International normalized ratio
Intraoperative, post-CPB .83d
No. 53 44
Mean (SD) 2.3 (1.4) 2.2 (0.9)
Day of surgery (last recorded value) .11d
No. 50 46
Mean (SD) 1.3 (0.3) 1.4 (0.2)
Postoperative day 1 (last recorded value) .81d
No. 53 46
Mean (SD) 1.2 (0.3) 1.3 (0.2)
Fibrinogen, mg/dL
Intraoperative post-CPB .36d
No. 51 45
Mean (SD) 200 (60) 210 (70)
Bleeding severity and hemostatic therapies
Postintervention hemostatic therapy from 60 min to 4 h, No. (%)e
No 43 (79.6) 32 (68.1) .25a
Yes 11 (20.4) 15 (31.9)
Postintervention hemostatic therapy from 60 min to 24 h, No. (%)e
No 41 (75.9) 31 (66.0) .28a
Yes 13 (24.1) 16 (34.0)
Bleeding categories according to modified UDPB classificationf
Moderate (class 2), No. (%) 42 (79.2) 29 (61.7) .08a
Severe or massive (classes 3 and 4), No. (%) 11 (20.8) 18 (38.3)
Chest tube drainage, mL
12 h <.001b
No. 53
Median (IQR) 310 (250-455) 500 (310-750)
24 h <.001b
No. 53
Median (IQR) 450 (370-630) 700 (470-950)
Reexploration, No. (%) 3 (5.6) 5 (10.6) .47a
Fibrinogen concentrate, No. (%) 23 (42.6) 22 (46.8) .69a
Recombinant factor VII, No. (%) 1 (1.9) 3 (6.4) .34a

Abbreviations: CPB, cardiopulmonary bypass; FP, frozen plasma; IQR, interquartile range; PCC, prothrombin complex concentrate; UDPB, universal definition of perioperative bleeding.

SI conversion factors: To convert hemoglobin to grams per liter, multiply by 10.0; platelet count to ×109/L, by 1.0; and fibrinogen to grams per liter, by 0.01.

a

Based on results of the Fisher exact test.

b

Based on results of the Wilcoxon signed rank test.

c

Excluding patients who were randomized in the operating room but received interventional product after leaving the operating room.

d

Based on results of the t test.

e

Includes receipt of any allogeneic blood transfusions, hemostatic adjuncts, or procedures from 60 minutes to 4 hours and from 60 minutes to 24 hours after intervention initiation.

f

Determinants used in this study included postoperative chest tube output; units of red blood cells, plasma, and platelets transfused; use of factor concentrates; and surgical reexploration.21 For this study the following components of the UDPB score were not used: delay in chest closure and use of cryoprecipitate. Because all patients received PCC or FP, none are classified as lower than 2. Data missing from 1 patient who died in the PCC group.