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NCT03699813

ROTEM Versus aPTT/PT in Pediatric Surgery

Completed Last updated 11 October 2018
What this trial tests

trial testing Comparison of two approaches to bleeding management in Coagulation Defect; Bleeding in 45 participants. Completed in 15 September 2018.

Timeline
2 February 2015
Primary endpoint
15 September 2018
15 September 2018

Quick facts

Lead sponsorUniversity Hospital, Motol
StatusCompleted
Study typeOBSERVATIONAL
Enrollment45
Start date2 February 2015
Primary completion15 September 2018
Estimated completion15 September 2018

Drugs / interventions tested

Conditions studied

Sponsor

University Hospital, Motol

Who can join

Adults 5 to 18, any sex, with Coagulation Defect; Bleeding. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Hemocoagulation management in perioperative bleeding is nowadays based on standard coagulation testing: activated partial thromboplastin time (aPTT), prothrombin time (PT), fibrinogen, D-dimers, platelets. An interest about viscoelastic coagulation testing methods is rising - use of rotational thromboelastometry (ROTEM) is mentioned in the newest European guidelines for hemostasis management. ROTEM has more advantages then standard tests. However, both tests have only grade 1C recommendation, and most of trials have been done on adults. The goal of the study is to compare a relationship between standard tests and ROTEM in pediatric patients in perioperative period to find out which test has better correlation with clinical status, to compare therapeutic strategies and time necessary for gain both of tests and to compare the difference in blood loss and blood products consumption in group treated by ROTEM versus standard tests. Reduced blood loss and amount of blood products transfusion is expected to be found in ROTEM group, representing lowering risk for the patient, all due to early evaluation of hemocoagulation and targeted therapy guided by ROTEM.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Usefulness of perioperative rotational thrombelastometry during scoliosis surgery in children.
    Jonas J, Durila M, Malosek M, Maresova D, et al · · 2020 · cited 4× · PMID 31978886 · DOI 10.3171/2019.11.spine191137

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