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.
Based on results of the Fisher exact test.
Based on results of the Wilcoxon signed rank test.
Excluding patients who were randomized in the operating room but received interventional product after leaving the operating room.
Based on results of the t test.
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.
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.