INR overestimates coagulopathy in stable trauma and surgical patients

PGY1 PGY2 PGY3 PGY4 Trauma

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.”


Link to article