R58 D68.9
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Control group: - Healthy, especially concerning coagulation - Informed consent Intervention group: - Regular medication of one of the following medications: Phenprocoumon, Enoxaparin, acetylsalicylic acid and Ticagrelor (combination), Dabigatran, Apixaban - Informed consent - Heparin Group: surgery with a mandatory heparin application during surgery
Exclusion criteria
Exclusion criteria: Control group: - Bleeding disorders (e.g. haemophilia, factor 5 Leiden mutation) - Medications within the last 10 days - Regular medication - Missing informed consent - Malignancies of the haematopoietic system - Status after diseases which caused a stay at hospital or doctor’s consultation during the last 14 days - HES > 1,5 l during the past 4 weeks Intervention group: - Regular medication of more than one of the following: Phenprocoumon, Enoxaparin, acetylsalicylic acid and Ticagrelor, Dabigatran, Apixaban, acetylsalicylic acid - Medications not at effective level - No intake of the mentioned medications - Intake of medications which influence coagulation but are not analyzed in this study - Bleeding disorders (e.g. haemophilia, factor 5 Leiden mutation) - Malignancies of the haematopoietic system - Surgery in the past 14 days - Stent implantation in the past 3 days - Sepsis in the past 14 days - HES > 1,5 l during the past 4 weeks - Missing informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Endpoint is the clot formation, measured via thromelastometry (ROTEM Delta). The measurement ist performed for 60 minutes. The measurement starts (in the intervention group) directly after incubation with the haemostyptic agent. CT, CFT, MCF, ML, LI 30, LI 45, LI 60, alpha angle, A10, A20, AUC are determined. With the help of these data - time until clot formation, - speed of clot formation, - clot firmness as well as - clot lysis can be estimated. | — |
Countries
Germany
Contacts
Bundeswehrkrankenhaus UlmKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie