Evidence map›Paper›PMID 40230308›Full record

Observational studyAnaesthesia2025

Pre-operative reference ranges for ROTEM

Maite M T van Haeren, Meike Brouwers, Jimmy Schenk, Jennifer S Breel, Sijm H Noteboom, Eline Kho, Susanne Eberl, Denise P Veelo, Alexander P J Vlaar, Marcella C A Müller and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Maite M T van HaerenDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0009-0009-2674-0668
Meike BrouwersDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Jimmy SchenkDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0003-0570-0017
Jennifer S BreelDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Sijm H NoteboomDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0002-2443-0764
Eline KhoDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0003-2001-4111
Susanne EberlDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0002-6609-5888
Denise P VeeloDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0001-6196-1671
Alexander P J VlaarDepartment of Intensive Care, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0002-3453-7186
Marcella C A MüllerDepartment of Intensive Care, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0003-3884-1908
Henning HermannsDepartment of Anaesthesiology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0002-4297-495X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRotational thromboelastometry (ROTEM

methodsReference ranges (2.5-97.5th percentiles) were compared with those reported by the manufacturer by calculating 95%CIs around the percentiles. Sex- and age-specific variations were evaluated similarly by creating subgroups (comparing males with females and different age groups) and calculating the 95%CIs for the ranges in each subgroup. Non-overlapping CIs indicated statistically significant different ranges.

resultsWe included 381 patients in the analysis. Differences were found in ROTEM sigma reference ranges compared with those stated by the manufacturer: EXTEM and FIBTEM clot firmness upper limits were higher, and clotting time ranges in EXTEM and INTEM were wider. The lower limit of LI60 EXTEM was lower. When comparing males (n = 260) and females (n = 121), female patients had shorter CT EXTEM and higher A5, A10 and MCF in EXTEM and FIBTEM, but the reference ranges were not significantly different. No differences in medians or reference bounds were found across four age categories, divided by quartiles. DISCUSSION: Reference ranges for patients undergoing cardiac surgery differed from the manufacturer reference ranges. Pre-operatively, female patients exhibited a slightly more hypercoagulable ROTEM profile than males when comparing medians, though the reference ranges were similar. No differences were found across age categories. Cardiovascular-specific, but not sex- or age-specific ROTEM sigma reference ranges might be needed.

Indexed as

Cardiac Surgical ProceduresPreoperative CareThrombelastographyAdultAgedAged, 80 and overAge FactorsCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesReference ValuesSex Factorscardiac surgeryreference rangesROTEMsexthromboelastometry

Identifiers

PMID40230308
PMCPMC12256168

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

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 Socratic graph.