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Date Published: 23/12/2024
Abstract Views: 42
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DOI: https://doi.org/10.51298/vmj.v545i3.12397
Issue
Vol. 545 No. 3 (2024)
Section
Các bài báo
How to Cite
Trần, T. K. M., Nguyễn, V. D., Đặng, M. T., & Phạm, N. T. (2024). VALUE OF SOME CONVENTIONAL COAGULATION TESTS AND ROTEM TEST IN CIRRHOSIS PATIENT WITH BLEEDING. Vietnam Medical Journal, 545(3). https://doi.org/10.51298/vmj.v545i3.12397

VALUE OF SOME CONVENTIONAL COAGULATION TESTS AND ROTEM TEST IN CIRRHOSIS PATIENT WITH BLEEDING

Thị Kiều My Trần, Việt Dũng Nguyễn, Minh Tân Đặng, Ngọc Thạch Phạm

Main Article Content

Abstract

Objective: To evaluate the value of some conventional coagulation tests and ROTEM test in cirrhosis patient with bleeding. Subjects and methods: Cross-sectiona descriptiv an retrospectiv study, 136 cirrhosis patients hospitalize at NHTD from 2019 to 2022 were enrolled in this study. Results: 136 patients had an average age of 50.9 ± 11.5 years, 78% were male; Clinical bleeding rate was 39%; There was no statistically significant difference in PT%, rAPTT, Fibrinogen between the 2 groups with and without bleeding, while the platelet count in the bleeding group was statistically significantly lower  (p = 0.045); Clot amplitude indices on ROTEM were different between the 2 groups of bleeding and non-bleeding (P < 0.05), but CT index was not. Patients with hypocoagulation on ROTEM had a bleeding rate of 41.3%, statistically significantly higher than the group with normal ROTEM results (p=0.047). Conclusion: Abnormal conventional coagulation test do not predict the risk of bleeding in cirrhosis patient. A normal ROTEM test can help excludes reasons bleeding due to coagulopathy in patients with Abnormal conventional coagulation test

Article Details

Keywords

cirrhosis; coagulopathy; ROTEM; conventional coagulation test (CCTs)

References

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