Skip to main content

Table 1 Patient clinical features and outcomes

From: Decreased antithrombin activity in the early phase of trauma is strongly associated with extravascular leakage, but not with antithrombin consumption: a prospective observational study

  

All (n = 39)

AT activity on day 0

lower AT group

AT < 80% (n = 10)

normal AT group

AT ≥80% (n = 29)

P value

Patient characteristics

 Age

years

61 (38–73)

69 (57–80)

56 (34–72)

0.079

 Sex: male / female

n (%)

26 (66.7) / 13 (33.3)

8 (80.0) / 2 (20.0)

18 (62.1) / 11 (37.9)

0.299

 Injury Severity Score

20 (10–27)

26 (13–37)

17 (10–26)

0.091

 JAAM DIC (+)

n (%)

11 (28.4)

6 (60.0)

5 (17.2)

0.016

Duration of injury to blood sampling

 

min

68 (31–180)

71 (42–205)

68 (30–187)

0.469

Laboratory data

 Hemoglobin

g/L

128 (118–136)

116 (91–129)

132 (120–140)

0.035

 Platelet

×109/L

216 (168–253)

130 (86–246)

220 (182–261)

0.033

 Prothrombin time (INR)

 

1.07 (1.00–1.12)

1.16 (1.10–1.33)

1.03 (0.99–1.08)

< 0.001

 Activated partial thromboplastin time

sec

24.7 (23.2–27.1)

27.2 (26.1–34.0)

24.3 (22.7–26.3)

0.001

 Hepaplastin test

%

112.7 (91.6–126.8)

93.2 (82.1–112.4)

117.0 (96.3–127.8)

0.088

 Fibrinogen

g/L

2.4 (1.9–2.8)

1.8 (1.2–2.4)

2.5 (2.3–2.8)

0.024

 FDP

μg/mL

63.0 (31.4–168.1)

161.3 (100.4–292.8)

47.7 (22.6–111.7)

0.005

 D-dimer

μg/mL

36.4 (16.0–96.6)

92.0 (53.5–136.5)

21.6 (10.7–59.1)

0.010

 TAT

μg/L

88.0 (30.1–200.0)

99.4 (74.7–200.5)

64.0 (21.1–200.0)

0.403

 PIC

μg/mL

9.1 (2.8–17.8)

15.1 (7.7–23.6)

5.8 (2.2–14.3)

0.022

 tPAI-1

ng/mL

30 (3–602)

27 (19.7–113.3)

29 (16–47.5)

0.551

 AT activity

%

96.2 (79.8–108.3)

69.9 (66.2–76.9)

102.5 (91.1–109.7)

< 0.001

 Protein C

%

90.6 (75.8–101.5)

69.5 (54.6–83.0)

95.3 (82.1–108.8)

0.001

 α2-plasmin inhibitor

%

90.5 (79.6–101.6)

73.8 (62.6–81.8)

95.8 (85.1–105.6)

< 0.001

 Plasminogen

%

93.8 (81.5–102.6)

81.4 (64.0–88.2)

99.7 (86.9–106.7)

0.003

 Thrombomodulin

ng/mL

2.9 (2.3–3.7)

3.9 (2.5–5.0)

2.9 (2.3–3.7)

0.076

 Interleukin-6a

pg/mL

108.5 (40.8–250.3)

241.0 (145.5–411.0)

69.5 (33.0–175.5)

0.004

 Lactate acid

mmol/L

1.7 (1.2–2.4)

2.2 (1.1–2.9)

1.7 (1.2–2.1)

0.281

 Albumin

g/L

39 (34–43)

31 (29–36)

42 (38–43)

< 0.001

Transfusion Day 0 / Day 0–6

 Packed red blood cells

mL

0 (0–0) / 0 (0–560)

140 (0–560) / 280 (280–770)

0 (0–0) / 0 (0–0)

0.094 / 0.011

 Fresh frozen plasma

mL

0 (0–480) / 0 (0–480)

480 (0–840) / 480 (0–1680)

0 (0–0) / 0 (0–0)

0.015 / 0.018

 Platelets

mL

0 (0–0) / 0 (0–0)

0 (0–0) / 0 (0–100)

0 (0–0) / 0 (0–0)

0.640 / 0.014

Intervention Day 0 / Day 0–6

 Interventional radiology

n (%)

6 (15.3) / 6 (15.3)

3 (30.0) / 3 (30.0)

3 (10.3) / 3 (10.3)

0.162 / 0.162

 Craniotomy

n (%)

3 (7.6) / 3 (7.6)

1 (10.0) / 1 (10.0)

2 (6.8) / 2 (6.8)

0.600 / 0.600

 Laparotomy

n (%)

1 (2.5) / 1 (2.5)

1 (10.0) / 1 (10.0)

0 (0.0) / 0 (0.0)

0.256 / 0.256

 Open reduction and Internal fixation

n (%)

0 (0.0) / 14 (35.9)

0 (0.0) / 4 (40.0)

0 (0.0) / 10 (34.4)

none / 0.519

Outcome

 DVT (+)

n (%)

6 (15.4)

2 (20.0)

4 (13.7)

0.490

 In-hospital Mortality

n (%)

2 (5.1)

0 (0.0)

2 (6.8)

0.547

  1. Values are presented as median (interquartile range: IQR) or number (%), if appropriate
  2. AT antithrombin, JAAM Japanese Association for Acute Medicine, DIC disseminated intravascular coagulation, FDP fibrin/fibrinogen degradation product, TAT thrombin-antithrombin complex, PIC plasmin-α2-plasmin inhibitor complex, tPAI-1 total plasminogen activator inhibitor-1, DVT deep vein thrombosis; n, numbers of patients
  3. ameasurements of 38 patients. We started to measure IL-6 from the second patient of this study