Coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypass

Background. Platelet count (PLT), activated partial thromboplastin time (APTT), prothrombin time (PT) and fibrinogen are standard coagulation tests used for patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). Materials and methods. 83 adult cardiac surgery patients were en­ rolled...

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Main Authors: Agnese Ozolina, Eva Strike, Antonina Sondore, Indulis Vanags
Format: Article
Language:English
Published: Vilnius University Press 2012-10-01
Series:Acta Medica Lituanica
Subjects:
Online Access:https://www.journals.vu.lt/AML/article/view/21542
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author Agnese Ozolina
Eva Strike
Antonina Sondore
Indulis Vanags
author_facet Agnese Ozolina
Eva Strike
Antonina Sondore
Indulis Vanags
author_sort Agnese Ozolina
collection DOAJ
description Background. Platelet count (PLT), activated partial thromboplastin time (APTT), prothrombin time (PT) and fibrinogen are standard coagulation tests used for patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). Materials and methods. 83 adult cardiac surgery patients were en­ rolled into a prospective study. Blood samples for APTT, PT, PLT, fibrino­ gen were collected preoperatively (T0), on admission to the intensive care unit (T1), 6 and 24 hours postoperatively (T6, T24). 24-hour postopera­ tive blood loss (24h-PBL) was registered. Results. The highest APTT mean value was 47  ±  13 sec at T6, in­ creasing from the baseline by 37%. The lowest mean value of PLT was 140 ± 47 × 109/L at T24, decreasing from the baseline by 32.5%. PT and fibrinogen mean values at all time points were within the normal range. Correlation with 24h-PBL was shown by T0 and T6 fibrinogen (r = –0.5, r  =  –0.4, P
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spelling doaj.art-ccd8a5ed73c24f59b74e10f109816daa2022-12-22T02:50:50ZengVilnius University PressActa Medica Lituanica1392-01382029-41742012-10-0119310.6001/actamedica.v19i3.2442Coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypassAgnese OzolinaEva StrikeAntonina SondoreIndulis VanagsBackground. Platelet count (PLT), activated partial thromboplastin time (APTT), prothrombin time (PT) and fibrinogen are standard coagulation tests used for patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). Materials and methods. 83 adult cardiac surgery patients were en­ rolled into a prospective study. Blood samples for APTT, PT, PLT, fibrino­ gen were collected preoperatively (T0), on admission to the intensive care unit (T1), 6 and 24 hours postoperatively (T6, T24). 24-hour postopera­ tive blood loss (24h-PBL) was registered. Results. The highest APTT mean value was 47  ±  13 sec at T6, in­ creasing from the baseline by 37%. The lowest mean value of PLT was 140 ± 47 × 109/L at T24, decreasing from the baseline by 32.5%. PT and fibrinogen mean values at all time points were within the normal range. Correlation with 24h-PBL was shown by T0 and T6 fibrinogen (r = –0.5, r  =  –0.4, Phttps://www.journals.vu.lt/AML/article/view/21542APTTPTPLTfibrinogencardiac surgery
spellingShingle Agnese Ozolina
Eva Strike
Antonina Sondore
Indulis Vanags
Coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypass
Acta Medica Lituanica
APTT
PT
PLT
fibrinogen
cardiac surgery
title Coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypass
title_full Coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypass
title_fullStr Coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypass
title_full_unstemmed Coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypass
title_short Coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypass
title_sort coagulation tests and their association with postoperative blood loss after cardiac surgery with cardiopulmonary bypass
topic APTT
PT
PLT
fibrinogen
cardiac surgery
url https://www.journals.vu.lt/AML/article/view/21542
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AT evastrike coagulationtestsandtheirassociationwithpostoperativebloodlossaftercardiacsurgerywithcardiopulmonarybypass
AT antoninasondore coagulationtestsandtheirassociationwithpostoperativebloodlossaftercardiacsurgerywithcardiopulmonarybypass
AT indulisvanags coagulationtestsandtheirassociationwithpostoperativebloodlossaftercardiacsurgerywithcardiopulmonarybypass