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The Correlation of Hemostatic Parameters with the Development of Early Sepsis-Associated Encephalopathy. A Retrospective Observational Study

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31 ott 2024
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Fig. 1.

Comparison of coagulation initiation between groups.
Comparison of coagulation initiation between groups.

Fig. 2.

Comparison of coagulation propagation between groups.
Comparison of coagulation propagation between groups.

Fig. 3.

Comparison of clot strength between groups.
Comparison of clot strength between groups.

Multivariate logistic regression model using age and complete blood count parameters_

Parameter Adjusted OR 95% CI P value
Leucocyte count 1.000 1.000; 1.000 0.403
Platelet count 1.003 1.001; 1.006 0.004*
Age 1.003 0.987; 1.020 0.710

Demographic data and complete blood count parameters in patients with and without sepsis-associated encephalopathy (SAE)_

Parameter Patients with SAE (n=184) Patients without SAE (n=96) Reference ranges P value
Age (years) 73 (18) 70 (16) 0.088
Male sex 94 (51.08%) 52 (54.16%) 0.624
Leucocyte count (per μL) 14100 (10960) 10265 (10882) 4000–9000 0.003*
Hemoglobin (g/dL) 10.1 (3.9) 9.8 (3.8) 11.5–17 0.276
Platelet count (per μL) 200000 (166500) 128500 (149500) 150000–400000 <0.001*

Multivariate logistic regression model using fibrinogen levels and platelet contribution to clot strength_

Parameter Adjusted OR 95% CI P value
Fibrinogen level 1.000 0.997; 1.002 0.403
Platelet component 1.007 1.001; 1.013 0.02*

Hemostatic tests in patients with and without sepsis-associated encephalopathy (SAE)_

Parameter Patients with SAE (n=63) Patients without SAE (n=55) Reference ranges P value
PT (s) 15.95 (3.8) 17 (5.2) 10.4–14.3 0.440
Fibrinogen (mg/dL) 431.88 (±198.14) 373.94 (±170.94) 200–400 0.095
Factor II (%) 57.46 (±15.12) 57.07 (±14.73) 70–120 0.888
Factor V (%) 54.35(±19.13) 52.70 (±18.10) 70–120 0.635
Factor VII (%) 36.33(±13.78) 37.61(±15.54) 55–165 0.638
Factor X (%) 56.34(±16.40) 54.67(±15.62) 70–120 0.579
AT (%) 65.44(±17.85) 68.25(±14.45) 80–120 0.389
PC (%) 58.98(±11.94) 60.06(±13.71) 70–150 0.663
PS (%) 44.86(±10.08) 43.68(±12.04) 60–140 0.581
D-dimer (ng/mL) 4830.5 (6273) 3940 (7493) <500 0.446
EXTEM CT (s) 69 (20.5) 70.5 (22.8) 38–79 0.791
EXTEM CFT (s) 90.5 (80) 114.5 (104) 34–159 0.001*
EXTEM MCF (mm) 64.30(±14.41) 56.71(±12.60) 50–72 0.004*
EXTEM MCE 218.81(±126.33) 147.85(±73.31) - 0.001*
EXTEM CLI60 (%) 98(3) 98(4) >85 0.167
MaxVel (mm/min) 17 (9.8) 14 (10) 11–25a 0.021*
t-MaxVel (s) 85 (69.5) 99 (105.5) 147–223a 0.931
AUC (mm x 100) 6360.16(±1364.86) 5602.31(±1269.07) - 0.005*
FIBTEM MCF (mm) 21.71(±11.40) 16.40(±7.78) 9–25 0.007*
FIBTEM MCE 38.44 (±53.24) 20.66 (±13.23) - 0.024*
APTEM CLI60 (%) 98 (3) 98 (4) - 0.278
Diff CLI60 0 (0) 0 (1) - 0.374
Platelet component 175.5 (156.75) 119.5 (105) - 0.010*