Evaluation of coagulopathy in cirrhotic patients: A scoping review of the utility of viscoelastic testing.
Am J Surg
; 227: 34-43, 2024 Jan.
Article
en En
| MEDLINE
| ID: mdl-37722936
ABSTRACT
BACKGROUND:
Cirrhosis causes significant coagulopathy. Traditional coagulation tests may not accurately measure coagulopathy in well-compensated patients with cirrhosis. Viscoelastic tests are functional tests that may better assess coagulopathy in cirrhotic patients.METHODS:
We searched PubMed, ScienceDirect, Google Scholar, and grey literature using terms meaning viscoelastic testing and cirrhosis. After reviewing over 500 titles and abstracts, 40 full-text papers met inclusion criteria.RESULTS:
Twenty-two papers found viscoelastic testing was a better indicator of baseline coagulation than traditional testing in cirrhosis. Nineteen additional papers evaluated the utility of peri-procedural viscoelastic testing and found they led to a reduction in blood product administration without increasing risk of hemorrhage, thrombotic events, or other complications.CONCLUSIONS:
The usage of viscoelastic testing in patients with cirrhosis allows for better assessment of coagulopathy, resulting in improved outcomes. Educating physicians to optimize care of this high-risk group is necessary to further improve their treatment.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Tromboelastografía
/
Trastornos de la Coagulación Sanguínea
Tipo de estudio:
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Am J Surg
/
Am. j. surg
/
American journal of surgery
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos