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Date Published: 28/06/2025
Online Published: 28/06/2025
Abstract Views: 214
Views article details: 55
DOI: https://doi.org/10.54804/yhthvb.3.2025.382
Issue
No. 3 (2025)
Section
Articles
How to Cite
Nguyen, T. M. H., Nguyen, Q. D., Nguyen, T. H., Hoang, M. D., & Truong, T. T. H. (2025). Characteristics of ROTEM tests in patients with severe burns with coagulation disorders. Journal of Disaster Medicine and Burn Injuries, 3, 33-42. https://doi.org/10.54804/yhthvb.3.2025.382

Characteristics of ROTEM tests in patients with severe burns with coagulation disorders

Nguyen Thi Mai Huong1,, Nguyen Quang Dong1, Nguyen Thu Hien1, Hoang My Dung1, Truong Thi Thu Hien1
1 Le Huu Trac National Burn Hospital

Main Article Content

Abstract

Objectives: To describe the characteristics of ROTEM tests in patients with severe burns.
Subjects and methods: A descriptive, prospective study was conducted on 35 patients with severe burns treated at the ICU, Le Huu Trac National Burn Hospital, with 42 ROTEM tests from April 2022 to April 2024.
Results: The average age of the patients of the study was 37 ± 18 years, male accounted for 74%, the average total burn area was 55.40 ± 20.63% total body surface area (TBSA), and the average deep burn area was 28.85 ± 17.83% TBSA; 54.3% of the patients were in the burn shock stage; the average value of CT-INTEM was 262.24 ± 134.14 (mm); the incidence of coagulation disorders in ROTEM tests: the highest rate in both the burn shock stage (30%) and the infection stage (57.9%) was hypocoagulation by the intrinsic pathway. Hypercoagulation was present in both stages: burn shock stage (17.4%) and infection stage (47.3%). There is a condition that increases blood clotting and reduces blood clotting in the same patient. Fibrinogen deficiency was only observed in the burn shock stage (8.7%).
Conclusion: ROTEM test can be used to early identify the type of coagulation disorder in clinical practice and to provide more information about coagulation disorders beyond conventional coagulation tests.

Article Details

Keywords

Burns, coagulation disorders, ROTEM

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