Standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis.
<h4>Background and aims</h4>Thromboelastometry (TEM) is superior to standard coagulation tests in the management of bleedings / invasive procedures in patients with liver cirrhosis. In contrast, the role of TEM as a prognostic parameter in liver cirrhosis is not well established. We ther...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2020-01-01
|
Series: | PLoS ONE |
Online Access: | https://doi.org/10.1371/journal.pone.0236528 |
id |
doaj-3cf430c61878444fb553672ae631d361 |
---|---|
record_format |
Article |
spelling |
doaj-3cf430c61878444fb553672ae631d3612021-03-04T11:15:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01157e023652810.1371/journal.pone.0236528Standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis.Jassin Rashidi-AlavijehAyse S CeylanHeiner WedemeyerMartin KleefischKatharina WilluweitChristian M Lange<h4>Background and aims</h4>Thromboelastometry (TEM) is superior to standard coagulation tests in the management of bleedings / invasive procedures in patients with liver cirrhosis. In contrast, the role of TEM as a prognostic parameter in liver cirrhosis is not well established. We therefore aimed to assess the role of TEM in predicting survival of outpatients with liver cirrhosis.<h4>Methods</h4>TEM was performed in consecutive outpatients with liver cirrhosis admitted in 2018 and 2019 to the University Hospital Essen. Associations with transplant-free survival were assessed in regression models.<h4>Results</h4>A number of 145 outpatients with liver cirrhosis were included, of whom 27 received a liver transplant (N = 7) or died (N = 20) within 6 months of follow-up. None of the TEM values was associated with transplant-free survival in this cohort. However, as expected, the classical coagulation tests INR (OR = 8.69 (95% CI 1.63-46.48), P = 0.01), PTT (OR = 1.15 (95% CI 1.04-1.27), P<0.01), as well as antithrombin (OR = 0.96 (95% CI 0.94-0.99), P<0.01), and protein C (OR = 0.96 (95% CI 0.92-0.99), P<0.01) were significantly associated with transplant-free survival.<h4>Conclusion</h4>In contrast to the superiority of TEM over classical coagulation tests to guide transfusion of blood products in patients with liver cirrhosis, TEM has no relevance in predicting mortality in outpatients with liver cirrhosis.https://doi.org/10.1371/journal.pone.0236528 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jassin Rashidi-Alavijeh Ayse S Ceylan Heiner Wedemeyer Martin Kleefisch Katharina Willuweit Christian M Lange |
spellingShingle |
Jassin Rashidi-Alavijeh Ayse S Ceylan Heiner Wedemeyer Martin Kleefisch Katharina Willuweit Christian M Lange Standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis. PLoS ONE |
author_facet |
Jassin Rashidi-Alavijeh Ayse S Ceylan Heiner Wedemeyer Martin Kleefisch Katharina Willuweit Christian M Lange |
author_sort |
Jassin Rashidi-Alavijeh |
title |
Standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis. |
title_short |
Standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis. |
title_full |
Standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis. |
title_fullStr |
Standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis. |
title_full_unstemmed |
Standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis. |
title_sort |
standard coagulation tests are superior to thromboelastometry in predicting outcome of patients with liver cirrhosis. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2020-01-01 |
description |
<h4>Background and aims</h4>Thromboelastometry (TEM) is superior to standard coagulation tests in the management of bleedings / invasive procedures in patients with liver cirrhosis. In contrast, the role of TEM as a prognostic parameter in liver cirrhosis is not well established. We therefore aimed to assess the role of TEM in predicting survival of outpatients with liver cirrhosis.<h4>Methods</h4>TEM was performed in consecutive outpatients with liver cirrhosis admitted in 2018 and 2019 to the University Hospital Essen. Associations with transplant-free survival were assessed in regression models.<h4>Results</h4>A number of 145 outpatients with liver cirrhosis were included, of whom 27 received a liver transplant (N = 7) or died (N = 20) within 6 months of follow-up. None of the TEM values was associated with transplant-free survival in this cohort. However, as expected, the classical coagulation tests INR (OR = 8.69 (95% CI 1.63-46.48), P = 0.01), PTT (OR = 1.15 (95% CI 1.04-1.27), P<0.01), as well as antithrombin (OR = 0.96 (95% CI 0.94-0.99), P<0.01), and protein C (OR = 0.96 (95% CI 0.92-0.99), P<0.01) were significantly associated with transplant-free survival.<h4>Conclusion</h4>In contrast to the superiority of TEM over classical coagulation tests to guide transfusion of blood products in patients with liver cirrhosis, TEM has no relevance in predicting mortality in outpatients with liver cirrhosis. |
url |
https://doi.org/10.1371/journal.pone.0236528 |
work_keys_str_mv |
AT jassinrashidialavijeh standardcoagulationtestsaresuperiortothromboelastometryinpredictingoutcomeofpatientswithlivercirrhosis AT aysesceylan standardcoagulationtestsaresuperiortothromboelastometryinpredictingoutcomeofpatientswithlivercirrhosis AT heinerwedemeyer standardcoagulationtestsaresuperiortothromboelastometryinpredictingoutcomeofpatientswithlivercirrhosis AT martinkleefisch standardcoagulationtestsaresuperiortothromboelastometryinpredictingoutcomeofpatientswithlivercirrhosis AT katharinawilluweit standardcoagulationtestsaresuperiortothromboelastometryinpredictingoutcomeofpatientswithlivercirrhosis AT christianmlange standardcoagulationtestsaresuperiortothromboelastometryinpredictingoutcomeofpatientswithlivercirrhosis |
_version_ |
1714804257497022464 |