The use of fibrinogen concentrate for the management of trauma-related bleeding: A systematic review and meta-analysis

Carlo Mengoli, Massimo Franchini, Giuseppe Marano, Simonetta Pupella, Stefania Vaglio, Marco Marietta, Giancarlo M. Liumbruno

Research output: Contribution to journalReview article

Abstract

Haemorrhage following injury is associated with significant morbidity and mortality. The role of fibrinogen concentrate in trauma-induced coagulopathy has been the object of intense research in the last 10 years and has been systematically analysed in this review. A systematic search of the literature identified six retrospective studies and one prospective one, involving 1,650 trauma patients. There were no randomised trials. Meta-analysis showed that fibrinogen concentrate has no effect on overall mortality (risk ratio: 1.07, 95% confidence interval: 0.83-1.38). Although the metaanalytic pooling of the current literature evidence suggests no beneficial effect of fibrinogen concentrate in the setting of severe trauma, the quality of data retrieved was poor and the final results of ongoing randomised trials will help to further elucidate the role of fibrinogen concentrate in traumatic bleeding.

Original languageEnglish
Pages (from-to)318-324
Number of pages7
JournalBlood Transfusion
Volume15
Issue number4
DOIs
Publication statusPublished - Jan 1 2017

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Keywords

  • Bleeding
  • Fibrinogen concentrate
  • Mortality
  • Trauma

ASJC Scopus subject areas

  • Immunology and Allergy
  • Hematology

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