Trauma & major bleeding

A novel role for ADAMTS13 in hyperfibrinolysis after trauma-induced shock☆

Br J AnaesthPublished Mechanistic study

Authors' conclusion

During trauma-induced shock, ADAMTS13 can circulate in a truncated and hyperactivated conformation, which is associated with hyperfibrinolysis and mortality.

Study context

Population
Trauma patients with shock; in vitro blood from healthy volunteerstrauma patients with shock
Participants
39 patients
Comparison
Truncated vs closed ADAMTS13 conformation
Outcome
Hyperfibrinolysis (rotational thromboelastometry (ROTEM) FIBTEM maximum lysis) with truncated vs closed ADAMTS13 conformation
Methodological detailsclinical cohort with in vitro experiments
  • Clinical cohort with in vitro experiments

Main finding

As reported in the abstract

P = 0.002

Further findings

Mortality

P = 0.007

OutcomeP value
Hyperfibrinolysis (ROTEM FIBTEM maximum lysis)P = 0.002

Original publication

A novel role for ADAMTS13 in hyperfibrinolysis after trauma-induced shock☆. Br J Anaesth. Published 6 October 2025. doi:10.1016/j.bja.2025.07.092

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