Hemorrhage
Conditions
Keywords
Hemorrhagic, Obstetric, Fibrinogen
Brief summary
The files of hemorrhagic obstetric patients undergoing surgery and followed in the intensive care unit and using Fibrinogen and blood products were included in the study between January 2015- September 2018 at the Anesthesiology and Reanimation Clinic of SBU Kanuni Sultan Süleyman Training and Research Hospital. Patients under 18 years of age were excluded from the study. In this study, ages, operation types, number of blood and products, the amount of fibrinogen, the results of the hemogram and bleeding parameters, the levels of fibrinogen, the duration of hospital stay and the intensive care unit were recorded.
Detailed description
Bleeding is an important event that threatens the patient's life. Too much blood and blood products can be used in massive bleeding. However, unwanted allergic reactions may occur in blood and blood product transfusions. Fibrinogen is the first coagulation factor in coagulopathy. Some studies have shown that when the fibrinogen level falls to \<150-200 mg / dl, the bleeding increases dramatically.
Interventions
Fibrinogen and blood products
Sponsors
Study design
Eligibility
Inclusion criteria
* Obstetric patients, underwent surgery and followed in ICU * Used Fibrinogen and Blood products * Over 18 years age
Exclusion criteria
* Under 18 years age * Obstetric patients, underwent surgery but not used Fibrinogen and Blood products
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Amount of blood products (unit) | 24 hours | degree of hemorrhagie |
| Measurement of hemoglobin (g/dL) | 24 hours | Postpartum hemorrhage (PPH) is a major contributor to maternal death and severe maternal morbidity |
| Amount of fibrinogen consantrates | 24 hours | in order to avoid PPH |
| Measurement of fibrinogen (mg/L) | 24 hours | Significant independent predictor for evolution to severe PPH was plasma fibrinogen level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital stay days | 24 hours | for the recovery time of patients |
Countries
Turkey (Türkiye)