INR overestimates coagulopathy in stable trauma and surgical patients

From OHSU, Portland, Oregon study came out in Journal of Trauma and Acute Care Surgery in Dec 2013.¬† The main idea was that INR should not guide to transfuse FFP in stable trauma patient. This was a prospective observational study with 106 patients enrolled. They checked all clotting factors, and as well TEG. The median TEG was in normal limits, with clotting factors¬† function remained adequate Pre and Post FFP transfusion. The conclusion is: “INR is not a predictor of coagulopathy and should not be used to guide coagulation factor replacement in stable trauma and surgical patients.”


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