Cardiothoracic & vascular anesthesia

Prospective, Randomized Study of Fibrinogen Concentrate Versus Cryoprecipitate for Correcting Hypofibrinogenemia in Cardiac Surgery Patients

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Analysis of plasma fibrinogen concentration showed that cryoprecipitate and FC had comparable effectiveness.

Study context

Population
Adults with clinically significant bleeding and acquired hypofibrinogenemia (<2.0 g/L) after cardiopulmonary bypass (CPB), Astana, Kazakhstan, 2021–2022
Participants
88 adults
Comparison
Fibrinogen concentrate (FC) vs Cryoprecipitate
  • FCn = 48
  • Cryoprecipitaten = 40reference
Primary endpoint
Direct treatment cost
Methodological detailssingle-centre, prospective
  • Single-centre
  • Prospective

Primary result

As reported in the abstract

Direct cost of treatment per patient

Cryoprecipitate

$1,505.06

mean · SD $152.40 · per patient

FC

$631.75

mean · SD $223.67 · per patient

P < 0.0001

Secondary outcomes

Mean, mg/dL

OutcomeCryoprecipitateFC
Increase in mean plasma fibrinogen from before administration · 24 hours after125 (SD 65)96 (SD 65)

Fibrinogen levels · 48 hours after administration

No significant difference in fibrinogen levels between groups

Original publication

Prospective, Randomized Study of Fibrinogen Concentrate Versus Cryoprecipitate for Correcting Hypofibrinogenemia in Cardiac Surgery Patients. J Cardiothorac Vasc Anesth. Published 27 October 2023. doi:10.1053/j.jvca.2023.10.031

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

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