Pediatric anesthesia & critical care

Thrombotic Complications of Low‐Dose Versus High‐Dose Four‐Factor Prothrombin Complex Concentrate for Massive Bleeding in Pediatric Cardiovascular Surgery

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

High-dose 4F-PCC was not associated with increased thrombotic complications.

Study context

Population
Pediatric patients who received 4F-PCC for massive bleeding during cardiovascular surgery, January 2018–April 2024of 1296 operated
Participants
104 patients
Exposure
High-dose vs low-dose four-factor PCC
Outcome
Thrombotic complications
Follow-up
Within 15 days after use

Main finding

As reported in the abstract

within 15 days

P = 0.698

Thrombotic complications overall
6.73%

Observational data: associations, not effects.

Further findings

Reintervention

Cramér's V 0.118 · P = 0.015

OutcomeCohen's dP value
CPB timeShorter with high dose0.537P = 0.007

Original publication

Thrombotic Complications of Low‐Dose Versus High‐Dose Four‐Factor Prothrombin Complex Concentrate for Massive Bleeding in Pediatric Cardiovascular Surgery. Paediatr Anaesth. Published 28 May 2025. doi:10.1111/pan.15118

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