Thromboelastometry and organ failure in trauma patients: a prospective cohort study (Epidemiologic Perspectives & Innovations)

IntroductionData on the incidence of a hypercoagulable state in trauma, as measured by thromboelastometry (ROTEM), is limited and the prognostic value of hypercoagulability after trauma on outcome is unclear. We aimed to determine the incidence of hypercoagulability after trauma, and to assess whether early hypercoagulability has prognostic value on the occurrence of multiple organ failure (MOF) and mortality. Methods: This was a prospective observational cohort study in trauma patients who met highest trauma level team activation. Hypercoagulability was defined as a G value of ?11.7 dynes/cm2 and hypocoagulability as a G value of