ACUTE TRAUMATIC COAGULOPATHY

Introduction: The incidence of hemostatic abnormalities in the early hours after traumatic incident represents an independent predictor of mortality. The massive transfusion (MT) protocols have been shown to improve survival in severely injured patients. Material & Methods: We collected retrospectively data of polytraumatised patients treated at trauma ward of University Hospital in Ostrava in the year 2009 (without MT protocol) in the year 2013 (with MT protocol) and in the year 2017 (with MT protocol and ROTEM). Data collection included demographic data, ISS and coagulation data. The outcome was analysed in terms of mortality rate. Results: The patients with an acute coagulopathy treated in the year 2009 had higher mortality than the patients with an acute coagulopathy treated in the year 2013 but without statistic signification. The patients with an acute coagulopathy treated in the year 2017 had higher mortality than the patients with an acute coagulopathy treated in the year 2013 but without statistic signification. The coagulopathy rate in polytrauma patients treated in the year 2017 is significantly smaller than the coagulopathy rate in the year 2013 and 2009. Conclusions: The acute traumatic coagulopathy is a marker of injury severity and is related to mortality. Massive transfusion protocols and ROTEM- guided haemostatic therapy could improve survival in severely injured patients. Next trials are required to improve this important aspect of trauma care. References: Brohi, K., et al., Acute