Evidence map›Paper›PMID 36294471›Full record

ArticleJournal of clinical medicine2022

Is ROTEM Diagnostic in Trauma Care Associated with Lower Mortality Rates in Bleeding Patients?-A Retrospective Analysis of 7461 Patients Derived from the TraumaRegister DGU

Katrin Riehl, Rolf Lefering, Marc Maegele, Michael Caspers, Filippo Migliorini, Hanno Schenker, Frank Hildebrand, Matthias Fröhlich, Arne Driessen

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Prognostic value of admission ROTEM in trauma: enhancing 30-day all-cause mortality prediction using machine learning.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  2. Article
  3. Control of Haemorrhage in Orthopaedic Trauma.Journal of clinical medicine · 2024
    Review
  4. Visco-elastic testing in traumatic bleeding.Intensive care medicine · 2024
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Katrin RiehlDepartment of Orthopaedics, Traumatology and Reconstructive Surgery, University Hospital RWTH Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany.ORCID 0000-0003-0860-5568
Rolf LeferingIFOM-Institute for Research in Operative Medicine, Witten/Herdecke University, Ostmerheimerstrasse 200, 51109 Cologne, Germany.
Marc MaegeleIFOM-Institute for Research in Operative Medicine, Witten/Herdecke University, Ostmerheimerstrasse 200, 51109 Cologne, Germany.
Michael CaspersDepartment for Orthopaedic Surgery, Traumatology and Sports Traumatology, Cologne Merheim Medical (CMMC), Witten/Herdecke University, 51109 Cologne, Germany.
Filippo MiglioriniDepartment of Orthopaedics, Traumatology and Reconstructive Surgery, University Hospital RWTH Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany.ORCID 0000-0001-7220-1221
Hanno SchenkerDepartment of Orthopaedics, Traumatology and Reconstructive Surgery, University Hospital RWTH Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany.
Frank HildebrandDepartment of Orthopaedics, Traumatology and Reconstructive Surgery, University Hospital RWTH Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany.
Matthias FröhlichDepartment for Orthopaedic Surgery, Traumatology and Sports Traumatology, Cologne Merheim Medical (CMMC), Witten/Herdecke University, 51109 Cologne, Germany.ORCID 0000-0002-8444-632X
Arne DriessenDepartment of Orthopaedics, Traumatology and Reconstructive Surgery, University Hospital RWTH Aachen, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDeath from uncontrolled trauma haemorrhage and subsequent trauma-induced coagulopathy (TIC) is potentially preventable. Point-of-care devices such as rotational thromboelastometry (ROTEM

objectiveThe effect of ROTEM use was assessed on three different outcome variables: (i) administration of haemostatics, (ii) rate of RBC transfusions and (iii) mortality in severely injured patients. METHODS AND MATERIAL: A retrospective analysis of a large data set of severely injured patients collected into the TraumaRegister DGU

resultsA lower mortality rate in ROTEM-using groups was observed (

conclusionsIn this retrospective study, the use of ROTEM was associated with reduced mortality and an increased application of haemostatics and RBC transfusions. Prospective evidence is needed for further evidence-based recommendations.

Indexed as

blood transfusionhaemostaticsROTEMtrauma haemorrhagetrauma induced coagulopathy

Identifiers

PMID36294471
PMCPMC9605144

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.