Trauma & major bleeding

Unique Pattern of Coagulopathy Among Patients With Severe Traumatic Brain Injury: A Principal Component Analysis of Hemorrhagic Shock Trials

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

PC analysis demonstrated a unique pattern of coagulation biomarkers common to patients with severe TBI, irrespective of other injuries.

Study context

Population
Trauma patients randomized to placebo or standard of care in hemorrhagic shock trials, with complete international normalized ratio (INR), thromboelastography and AIS datacomplete data
Participants
506 patients
Exposure
iTBI vs polytrauma (POLY) vs iTRUNK
  • iTBIn = 51
  • POLYn = 115
  • iTRUNKn = 340
Outcome
Association of PC1 score with early transfusion (blood products within 24 hours)
Follow-up
24 hours
Methodological detailsstratified principal component analysis, harmonized database of hemorrhagic shock trials
  • Stratified principal component analysis
  • Harmonized database of hemorrhagic shock trials

Main finding

As reported in the abstract

Odds ratio (95% CI)P value
iTBIPC1 included INR, AA, K time, and MA
3.57(1.50–8.45)
P = 0.004
POLYPC1 included INR, AA, K time, and MA
2.29(1.11–4.75)
P = 0.026
iTRUNKPC1 included INR, AA, and MA; protective
0.51(0.37–0.70)
P < 0.001

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Unique Pattern of Coagulopathy Among Patients With Severe Traumatic Brain Injury: A Principal Component Analysis of Hemorrhagic Shock Trials. Crit Care Med. Published 8 January 2026. doi:10.1097/ccm.0000000000007005

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