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pandemic situation
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rotative thromboelastometry analysis | Experimental | Evaluation of diagnostic properties of coagulation by rotative thromboelastometry in patient with digestive hemorrhage in predictive value of mortality. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rotative thromboelastometry analysis | Other | Obtaining blood sample (one tube of blood) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | 28-day mortality rate | day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| Fresh-frozen plasma | Number of fresh-frozen plasma used within the first 48 hours of the care | day 2 |
| Length of stay | Lenght of stay in reanimation unit |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHR Metz Thionville | Metz | 57085 | France |
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| ID | Term |
|---|---|
| D006470 | Hemorrhage |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| day 28 |
| Recurrent bleeding | recurrent bleeding within the first 48 hours | Day 2 |