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[Changes in coagulation in patients with sepsis]

G Alarcón1, P Fardella, G Conte

  • 1Departamento de Medicina, Servicio de Hematología, Hospital Clínico Universidad de Chile, Santiago de Chile.

Revista Medica De Chile
|May 1, 1993
PubMed
Summary

Sepsis frequently causes coagulation disorders, especially in patients with shock. These abnormalities, including low platelets and prolonged clotting times, are common even without bleeding symptoms.

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Area of Science:

  • Coagulation disorders
  • Sepsis
  • Intensive Care Unit (ICU) medicine

Context:

  • Sepsis is a life-threatening condition associated with dysregulated host response.
  • Coagulation abnormalities are frequently observed in sepsis patients.
  • Understanding these disorders is crucial for patient management in the ICU.

Purpose:

  • To investigate the spectrum and frequency of coagulation disorders in sepsis patients.
  • To analyze the relationship between coagulation parameters, shock, and hemorrhagic manifestations.
  • To determine the impact of coagulation disturbances on mortality in sepsis.

Summary:

  • A retrospective study analyzed coagulation profiles of 61 sepsis patients in the ICU.
  • Abnormal prothrombin time (81%) and thrombocytopenia (73%) were prevalent.

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  • Coagulation abnormalities were more severe in patients with shock and often indicated intravascular coagulation (53%).
  • Impact:

    • Coagulation disturbances are common in sepsis, often subclinical.
    • Shock significantly exacerbates coagulation abnormalities in sepsis.
    • Despite frequent disturbances, no direct correlation with mortality was found in this study.