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Table 7 Laboratory findings and blood coagulation tests of subjects with ACLF stratified by bleeding events. Median (IQR) is shown with p-values for the group differences based on Mann-Whitney U test

From: Rotational thrombelastometry (ROTEM) improves hemostasis assessment compared to conventional coagulation test in ACLF and Non-ACLF patients

 

Limits of normal

No bleeding

n = 13

% outside the limitsof normal

Bleeding

n = 9

% outside the limitsof normal

p-value*

Laboratory findings

 Hemoglobin

13–17 g/dl

9.2 (2.05)

92.3%

9.0 (3.2)

100%

0.55

 Creatinine

0.6–1.2 mg/dl

2.39 (2.4)

84.6%

1.6 (2.5)

77.8%

0.47

 Bilirubin

< 1.0 mg/dl

3.1 (20.6)

76.9%

4.1 (9.7)

100%

0.43

 AST

< 46 U/l

62.0 (44.0)

61.5%

42.5 (9.7)

22.2%

0.36

 ALT

< 50 U/l

27.0 (42.0)

18.2%

27.0 (65.5)

14.3%

0.44

 GGT

< 60 U/l

92.0 (119.0)

69.2%

71.0 (144.0)

55.6%

0.29

 Alkaline Phosphatase

40–130 U/l

106.0 (111.0)

36.4%

97.5 (70.3)

11.1%

1.0

 Albumin

30–50 g/l

31.0 (7.55)

36.4%

30.2 (6.03)

57.1%

0.64

Coagulation tests

 INR

< 1.2

1.7 (0.9)

84.6%

1.4 (0.6)

77.8%

0.64

 PT

70–120%

40.0 (30)

100%

0.51 (0.2)

44.4%

0.70

 aPTT

< 36 s

32.9 (15.4)

30.8%

30.2 (27.6)

22.2%

0.85

 Platelet count

150–440/nl

72.5 (75.3)

23.1%

57.0 (40.5)

44.4%

0.32

 Fibrinogen

1.8–3.5 g/l

1.9 (1.6)

38.5%

1.5 (0.8)

77.8%

0.05

 Antithrombin III-activity

80–120%

45.7 (41.0)

92.3%

39.7 (28.0)

100%

0.47

 Thrombin time

< 22 s

20.2 (3.2)

15.4%

20.5 (8.9)

44.4%

0.16

 Protein C

60–120%

32.3 (43.0)

76.9%

36.4 (27.0)

77.8%

0.74

 Protein S (free)

>80%

51.8 (42.0)

76.9%

57.4 (27.0)

88.9%

1.0

 Factor V

70–120%

46.0 (37.0)

92.3%

37.0 (26.0)

88.9%

0.51

 Factor VIII

80–120%

255.5 (244.0)

100%

209.7 (116.0)

88.9%

0.96

 von-Willebrand antigen

70–120%

456.9 (210.0)

100%

353.6 (337.0)

100%

0.23

ADAMTS13 activity

40–130%

81.9 (27.0)

0.0%

74.3 (57.0)

22.2%

0.34

  1. ACLF acute-on-chronic liver failure, ADAMTS13 desintegrin and metalloprotease with thrombospondin-1-like domains 13, ALT alanine aminotransferase, AST aspartate aminotransferase, GGT gamma GT, INR international normalized ratio, aPTT activated partial thromboplastin time, PT prothrombin time