From: Which injured patients with moderate fibrinogen deficit need fibrinogen supplementation?
Study group | All patients | Severe deficit | Moderate deficit | No deficit | p |
---|---|---|---|---|---|
Fibrinogenemia (g L−1) |  | < 1.50 | 1.51–1.99 | > 1.99 |  |
 N | 980 | 158 (16) | 266 (27) | 556 (57) |  |
Demographic data | Â | Â | Â | Â | Â |
 Age (years) | 41 [25–57] | 38 [24–53] | 31 [22–50] | 46 [28–60] | < 0.001 |
 Sex male | 745 (76) | 118 (75) | 207 (78) | 420 (76) | 0.705 |
 Blunt Trauma | 918 (94) | 150 (95) | 248 (93) | 520 (94) | 0.766 |
 ISS | 25 [17–33] | 38 [28–50] | 25 [18–33] | 22 [16–29] | < 0.001 |
 Mortality at discharge | 188 (19) | 81 (51) | 43 (16) | 64 (12) | < 0.001 |
Prehospital parameters | Â | Â | Â | Â | Â |
 GCS | 14 [6–15] | 5 [3–14] | 14 [8–15] | 14 [9–15] | < 0.001 |
 SBP (mmHg) | 120 [100–140] | 95 [60–123] | 120 [100–136] | 127 [110–144] | < 0.001 |
 Shock Index | 0.7 [0.6–1.0] | 1.1 [0.7–1.6] | 0.8 [0.6–1.0] | 0.7 [0.6–0.8] | < 0.001 |
 Fluids (mL) | 850 [500–1250] | 1500 [1000–2213] | 1000 [500–1500] | 750 [350–1000] | < 0.001 |
 Vasopressor | 200 (20) | 89 (56) | 41 (16) | 70 (13) | < 0.001 |
Admission parameters | Â | Â | Â | Â | Â |
 SBP (mmHg) | 118 [100–136] | 101 [73–124] | 115 [99–133] | 122 [108–140] |  |
 Shock Index | 0.7 [0.6–0.9] | 1.0 [0.7–1.3] | 0.8 [0.6–1.0] | 0.7 [0.6–0.8] | < 0.001 |
 HemoCue < 110 g L−1 | 248 (26) | 102 (66) | 67 (26) | 79 (15) | < 0.001 |
 Lactate (mmol L−1) | 2.3 [1.5–3.7] | 4.4 [2.6–7.8] | 2.4 [1.7–3.5] | 2.0 [1.3–2.9] | < 0.001 |
 Base deficit (mEq L−1) | 4.6 [2.2–7.5] | 10.7 [6.3–16.2] | 4.7 [2.6–7.0] | 3.5 [1.4–5.7] | < 0.001 |
 Hemoglobin (g L−1) | 126 [109–139] | 94 [78–116] | 126 [110–137] | 132 [119–143] | < 0.001 |
 PTratio | 1.1 [1.1–1.3] | 1.6 [1.3–2.2] | 1.2 [1.1–1.3] | 1.1 [1.0–1.1] | < 0.001 |
 Fibrinogen (g L−1) | 2.1 [1.7–2.6] | 1.0 [0.6–1.3] | 1.8 [1.6–1.9] | 2.5 [2.2–3.0] | < 0.001 |
 Platelet (109 L−1) | 214 [179–259] | 173 [121–204] | 220 [183–266] | 225 [190–268] | < 0.001 |
Blood products [24Â h] | Â | Â | Â | Â | Â |
 Fibrinogen concentrate (g) | 0.0 [0.0–1.5] | 4.5 [3.0–6.0] | 0.0 [0.0–3.0] | 0.0 [0.0–0.0] | < 0.001 |
 Red blood cell (unit) | 0 [0–2] | 3 [1–6] | 0 [0–2] | 0 [0–0] | < 0.001 |
 Fresh frozen plasma (unit) | 0 [0–0] | 1 [0–4] | 0 [0–0] | 0 [0–0] | < 0.001 |
 Platelet (unit) | 0 [0–0] | 0 [0–3] | 0 [0–0] | 0 [0–0] | < 0.001 |
TXA first 3 h* | 679 (70) | 137 (87) | 225 (85) | 317 (57) | < 0.001 |