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Publication Type
Journal Article
UWI Author(s)
Author, Analytic
Davidson, Simon; McGrowder, Donovan A.; Keheller, Andrea; Burman, J.
Author Affiliation, Ana.
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Article Title
Can Rotem predict post-operative bleeding and appropriate treatment after surgery?
Medium Designator
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Connective Phrase
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Journal Title
Journal of Cardiothoracic and Vascular Anesthesia.
Translated Title
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Reprint Status
Refereed
Date of Publication
2008
Volume ID
22
Issue ID
5
Page(s)
655-661
Language
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Connective Phrase
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Location/URL
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ISSN
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Notes
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Abstract
Objective: To evaluate the predictive ability of ROTEM thromboelastometry (Pentapharm, Basel, Switzerland) to identify patients bleeding more than 200 mL/h in the early postoperative period after cardiac surgery. Design: A prospective observational study. Setting: A single university hospital. Participants: Fifty-eight adult male and female patients undergoing primary coronary artery revascularization. Interventions: Blood samples taken preoperatively and at 1, 2, and 3 hours after surgery. Measurements and Main Results: Eight patients bled at least 200 mL/h in the study period. All (100%) had at least 1 abnormal ROTEM result in the study period. Of the 49 patients not found to be bleeding more than 200 mL/h in any of the first 4 postoperative hours, 46 (94%) had at least 1 abnormal ROTEM result. The positive and negative predictive values were 14.8% and 100%, respectively. Conclusions: ROTEM thromboelastometry has poor predictive utility to identify patients who bleed more than 200 mL/h in the early postoperative period after cardiac surgery. However, its negative predictive value was good.....
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