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. 2021 Sep 7;11(9):1642. doi: 10.3390/diagnostics11091642

Table 5.

Main TEG®/ROTEM® results obtained in the healthy neonatal population: study characteristics.

Author Included
Neonates (n)
Control Group Type of blood
Sample
Analyzing
Method
Findings
Wiegele et al. [56] 142 neonates.
55 preterm infants, 87 full-term infants
Cord blood ROTEM Significantly faster clot initiation and formation as well as higher clot strength in the term group
Schott et al. [58] 100 full-term neonates.50 delivered
vaginally; 50 delivered by cesarean
section
Cord blood TEG No differences between vaginal and cesarean delivery neonates
in TEG measurements
Mirabella et al. [57] 85 full-term neonates 40 adults Cord blood TEG No between neonatal and adult TEG parameters
No differences
between neonatal and adult TEG value ranges
Sidlik et al. [53] 101 neonates Adults Cord blood ROTEM Lower CT and CFT values and higher alpha angle in
neonates (faster clot formation compared to adults).
Accelerated fibrinolysis in
the newborns compared to adults (shorter LI30)
Strauss et al. [54] 231 (84 full-term and 47 preterm infants) Institution’s
reference
ranges for
adults and children
Cord blood ROTEM CT and CFT significantly
shorter among preterm and
term infants compared to adults (faster clot formation)
Decreased MCF in preterm compared to term neonates and adults.
Correlation between GA and CT and MCF
Edwards et al. [52] 59 neonates (>34 weeks) Institution’s
reference
ranges for
adults and children
Cord blood TEG Accelerated initiation of coagulation and increased clot firmness and enhanced fibrinolytic activity compared to children (shorter R, higher angle, MA, CI, and G values)
Accelerated initiation
and propagation of coagulation compared to adults (shorter R, lower G values)
Cvirn et al. [55] 20 full-term neonates 20 adults Cord blood ROTEM Lower MCF and α angle and longer CFT (FIBTEM) in
neonates compared to
adults