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Thromboelastography Parameters in Urosepsis: A Retrospective Study.

Yun Qiao1, Xiaoye Lu1

  • 1Department of Emergency Medicine, Ren Ji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China.

Contrast Media & Molecular Imaging
|September 8, 2022
PubMed
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Thromboelastography (TEG) can assess hypercoagulable states in urosepsis and predict hypocoagulability in sepsis-induced coagulopathy (SIC), aiding in understanding disseminated intravascular coagulation (DIC). This study highlights TEG

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Area of Science:

  • Critical Care Medicine
  • Hematology
  • Infectious Diseases

Background:

  • Thromboelastography (TEG) is a clinical tool for monitoring coagulation disorders.
  • The association between TEG and urosepsis, particularly sepsis-induced coagulopathy (SIC), requires further investigation.

Purpose of the Study:

  • To investigate the clinical significance of TEG parameters in patients with urosepsis.
  • To explore the utility of TEG in assessing hypercoagulable states and predicting hypocoagulability in urosepsis and SIC.

Main Methods:

  • Retrospective study of 90 urosepsis patients admitted to emergency and intensive care units.
  • Comparison of clinical features, laboratory biomarkers, and TEG parameters between urosepsis and non-sepsis groups, and between SIC and non-SIC subgroups.
  • Analysis of diagnostic performance of TEG parameters for urosepsis.

Main Results:

  • Urosepsis patients showed significant differences in white blood cell count, CRP, PCT, FIB, INR, PT, D-dimer, and urinary tract obstruction compared to non-sepsis patients.
  • TEG parameters differed significantly: K value was lower, while α-angle and clot index (CI) were higher in the urosepsis group compared to the non-sepsis group.
  • Patients with SIC exhibited higher K values, lower α-angles, and lower maximum amplitudes (MA) than non-SIC patients, indicating coagulopathy.

Conclusions:

  • Coagulopathy is common in patients with urosepsis.
  • TEG is valuable for assessing hypercoagulable states in urosepsis and predicting hypocoagulability in SIC, reflecting the dynamic process of disseminated intravascular coagulation (DIC).