Biomarkers of Coagulation and Inflammation in Dogs after Randomized Administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s Solution

Synthetic colloid fluids containing hydroxyethyl starch (HES) have been associated with impairment of coagulation in dogs. It is unknown if HES causes coagulation impairment in dogs with naturally occurring critical illness. This study used banked plasma samples from a blinded, randomized clinical t...

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Main Authors: Corrin J. Boyd, Anthea L. Raisis, Claire R. Sharp, Melissa A. Claus, Giselle Hosgood, Lisa Smart
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/12/19/2691
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author Corrin J. Boyd
Anthea L. Raisis
Claire R. Sharp
Melissa A. Claus
Giselle Hosgood
Lisa Smart
author_facet Corrin J. Boyd
Anthea L. Raisis
Claire R. Sharp
Melissa A. Claus
Giselle Hosgood
Lisa Smart
author_sort Corrin J. Boyd
collection DOAJ
description Synthetic colloid fluids containing hydroxyethyl starch (HES) have been associated with impairment of coagulation in dogs. It is unknown if HES causes coagulation impairment in dogs with naturally occurring critical illness. This study used banked plasma samples from a blinded, randomized clinical trial comparing HES and balanced isotonic crystalloid for bolus fluid therapy in 39 critically ill dogs. Blood was collected prior to fluid administration and 6, 12, and 24 h thereafter. Coagulation biomarkers measured at each time point included prothrombin time, activated partial thromboplastin time, thrombin time, fibrinogen concentration, and the activities of coagulation factors V, VII, VIII, IX, and X, von Willebrand factor antigen, antithrombin, and protein C. Given the links between coagulation and inflammation, cytokine concentrations were also measured, including interleukins 6, 8, 10, and 18, keratinocyte-derived chemokine, and monocyte chemoattractant protein-1. Data were analyzed with linear mixed effects models. No significant treatment-by-time interactions were found for any biomarker, indicating that the pattern of change over time was not modified by treatment. Examining the main effect of time showed significant changes in several coagulation biomarkers and keratinocyte-derived chemokines. This study could not detect evidence of coagulation impairment with HES.
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spelling doaj.art-863fdd982a234fd993b105ca30aaa52f2023-11-23T19:38:10ZengMDPI AGAnimals2076-26152022-10-011219269110.3390/ani12192691Biomarkers of Coagulation and Inflammation in Dogs after Randomized Administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s SolutionCorrin J. Boyd0Anthea L. Raisis1Claire R. Sharp2Melissa A. Claus3Giselle Hosgood4Lisa Smart5School of Veterinary Medicine, Murdoch University, Perth, WA 6150, AustraliaSchool of Veterinary Medicine, Murdoch University, Perth, WA 6150, AustraliaSchool of Veterinary Medicine, Murdoch University, Perth, WA 6150, AustraliaSchool of Veterinary Medicine, Murdoch University, Perth, WA 6150, AustraliaSchool of Veterinary Medicine, Murdoch University, Perth, WA 6150, AustraliaSchool of Veterinary Medicine, Murdoch University, Perth, WA 6150, AustraliaSynthetic colloid fluids containing hydroxyethyl starch (HES) have been associated with impairment of coagulation in dogs. It is unknown if HES causes coagulation impairment in dogs with naturally occurring critical illness. This study used banked plasma samples from a blinded, randomized clinical trial comparing HES and balanced isotonic crystalloid for bolus fluid therapy in 39 critically ill dogs. Blood was collected prior to fluid administration and 6, 12, and 24 h thereafter. Coagulation biomarkers measured at each time point included prothrombin time, activated partial thromboplastin time, thrombin time, fibrinogen concentration, and the activities of coagulation factors V, VII, VIII, IX, and X, von Willebrand factor antigen, antithrombin, and protein C. Given the links between coagulation and inflammation, cytokine concentrations were also measured, including interleukins 6, 8, 10, and 18, keratinocyte-derived chemokine, and monocyte chemoattractant protein-1. Data were analyzed with linear mixed effects models. No significant treatment-by-time interactions were found for any biomarker, indicating that the pattern of change over time was not modified by treatment. Examining the main effect of time showed significant changes in several coagulation biomarkers and keratinocyte-derived chemokines. This study could not detect evidence of coagulation impairment with HES.https://www.mdpi.com/2076-2615/12/19/2691activated partial thromboplastin timecoagulation factorcolloidcrystalloidcytokinefibrinogen
spellingShingle Corrin J. Boyd
Anthea L. Raisis
Claire R. Sharp
Melissa A. Claus
Giselle Hosgood
Lisa Smart
Biomarkers of Coagulation and Inflammation in Dogs after Randomized Administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s Solution
Animals
activated partial thromboplastin time
coagulation factor
colloid
crystalloid
cytokine
fibrinogen
title Biomarkers of Coagulation and Inflammation in Dogs after Randomized Administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s Solution
title_full Biomarkers of Coagulation and Inflammation in Dogs after Randomized Administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s Solution
title_fullStr Biomarkers of Coagulation and Inflammation in Dogs after Randomized Administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s Solution
title_full_unstemmed Biomarkers of Coagulation and Inflammation in Dogs after Randomized Administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s Solution
title_short Biomarkers of Coagulation and Inflammation in Dogs after Randomized Administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s Solution
title_sort biomarkers of coagulation and inflammation in dogs after randomized administration of 6 hydroxyethyl starch 130 0 4 or hartmann s solution
topic activated partial thromboplastin time
coagulation factor
colloid
crystalloid
cytokine
fibrinogen
url https://www.mdpi.com/2076-2615/12/19/2691
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