Digestive hemorrhage is a common cause of acute hemorrhage in France, and its mortality remains high despite improvement of endoscopy technique and therapeutics. Hemostasis disorders are an important issue in the patient care both in severity diagnostic and therapeutic plan.
Standard technique of coagulation analysis (prothrombin ratio, activated partial thromboplastin time, fibrinogen and platelet count) do not provide to guide practitioner in reanimation of hemostatic patients in particular when coagulation defect preexisting to the digestive hemorrhage. In this respect, the main objective of this study is to evaluate the interest of rotative thromboelastometry in the care of patient with digestive hemorrhage and its mortality impact.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
13
Obtaining blood sample (one tube of blood)
CHR Metz Thionville
Metz, France
Mortality
28-day mortality rate
Time frame: day 28
Fresh-frozen plasma
Number of fresh-frozen plasma used within the first 48 hours of the care
Time frame: day 2
Length of stay
Lenght of stay in reanimation unit
Time frame: day 28
Recurrent bleeding
recurrent bleeding within the first 48 hours
Time frame: Day 2
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