Trauma & major bleeding

Trauma‐induced coagulopathy across age pediatric groups: A retrospective cohort study evaluating testing and frequency

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

Contrary to previous reports and using age-specific TIC criteria, younger children are not at lower risk of TIC than older children when controlling for injury severity.

Study context

Population
Injured children and adolescents at a large Level I trauma center, 2015–2020333 isolated severe traumatic brain injury (TBI)
Participants
2,409 children
Exposure
Coagulation testing and trauma-induced coagulopathy (TIC) frequency across pediatric age groups
Outcome
Coagulation testing patterns and frequency of TIC (age-specific reference ranges, controlling for injury severity)
Follow-up
Presentation and first 72 h
Methodological detailssingle-centre, Level I trauma center
  • Single-centre
  • Level I trauma center

Main finding

As reported in the abstract

TIC frequency and testing by age group

TIC at presentation

22%

TIC by 72 h

35%

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
In-hospital mortality with TICTIC vs No TIC4.10 (2.06–8.17)

TIC frequency, isolated severe TBI (subgroup)

No difference in TIC frequency between age groups

Original publication

Trauma‐induced coagulopathy across age pediatric groups: A retrospective cohort study evaluating testing and frequency. Paediatr Anaesth. Published 22 October 2024. doi:10.1111/pan.15024

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