Cardiothoracic & vascular anesthesia

Comparison of the Point‐Of‐Care Coagulation Device Quantra With the TEG‐5000 for Congenital Cardiac Surgery—A Pilot Study

Paediatr AnaesthPublished Prospective observational pilot study

Authors' conclusion

Despite weaknesses in correlation and agreement both VET devices suggested appropriate coagulation management based on the simulated transfusion algorithms. Quantra and TEG-5000 are not interchangeable and none of them can be considered as "the gold standard".

Study context

Population
Children (0–8 years) undergoing congenital cardiac surgery with cardiopulmonary bypass (CPB), Stanford Medicine Children's Healthincluded in the analysis
Participants
40 children
Exposure
Quantra vs TEG-5000
Outcome
Correlation of Quantra with TEG-5000 and Clauss Fibrinogen
Follow-up
On CPB during rewarming (T1) and after blood components and coagulation factors (T2)
Methodological detailssingle-centre, Consecutive screening October 2022 to May 2023: 289 surgeries, 97 met inclusion criteria, 63 consented
  • Single-centre
  • Consecutive screening October 2022 to May 2023: 289 surgeries, 97 met inclusion criteria, 63 consented

Main finding

As reported in the abstract

Correlation of Quantra with Clauss Fibrinogen and TEG-5000
  • Correlation of Quantra/Clauss Fibrinogen "moderate"
  • Correlation of Quantra/TEG-5000 parameters ranged from "weak" to "very strong"

Observational data: associations, not effects.

Further findings

Agreement of post hoc simulated transfusion algorithm with clinical management · post hoc

FFP agreement

Fibrinogen agreement

Platelets agreement

Agreement for normal and abnormal results

Levels of agreement ranged
15% to 97%

Original publication

Comparison of the Point‐Of‐Care Coagulation Device Quantra With the TEG‐5000 for Congenital Cardiac Surgery—A Pilot Study. Paediatr Anaesth. Published 17 March 2025. doi:10.1111/pan.15097

Composed by AI from the published abstract and checked against it. How Briefs are made →

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