Autor: |
John C, Cowling, Xu, Zhang, Kulvinder S, Bajwa, Ekatarina G, Elliott, Melissa M, Felinski, Julie, Holihan, Michelle, Scerbo, Brad E, Snyder, Michael D, Trahan, Todd D, Wilson, Sharon L, Courtney, Connie L, Klein, Angielyn R, Rivera, Erik B, Wilson, Shinil K, Shah, Davide, Cattano |
Rok vydání: |
2021 |
Předmět: |
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Zdroj: |
Obesity surgery. 31(8) |
ISSN: |
1708-0428 |
Popis: |
Some clinical indicators suggest hypercoagulability/hyperaggregability in patients with morbid obesity. Thromboelastography (TEG®) has been used to profile coagulation status in surgical patients. We aimed to assess coagulation profiles in patients with morbid obesity undergoing bariatric surgery by correlating demographic and patient characteristics to pre-operative TEG® values.Pre-operative TEG® values from 422 patients undergoing bariatric surgery were evaluated. TEG® results were analyzed by gender, use of medications known to alter the coagulation profile, and body mass index (BMI).Patients have a mean of 45.03 ± 11.8 years, female (76.3%), and with a mean BMI of 42 kg/mTEG®-based analysis of coagulation profiles offers unique insights. Compared to laboratory normal values (R time, angle, maximal amplitude, and G values), patients with morbid obesity may have a tendency for hypercoagulability/hyperaggregability, with mean values at the higher limit. A significant hypercoagulable difference in TEG® values was identified in female as compared to male patients. Male patients with a BMI greater than 50 kg/m |
Databáze: |
OpenAIRE |
Externí odkaz: |
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