Correlation between time to hospitalization and thromboelastography parameters in patients with splenic injuries in the early postoperative period

This study included 30 patients with abdominal stab wounds and splenic injuries who had undergone thromboelastography. All patients were divided into two groups (15 patients in each). Group A included individuals admitted to a healthcare institution within an hour after injury; Group B comprised patients who arrived to a healthcare institution more than one hour after injury. We found that splenectomy in patients with penetrating splenic injury causes changes in hemostasis manifesting as an increase in all thromboelastography parameters. These parameters correlated with the time to hospitalization: patients admitted to hospital within an hour after injury demonstrated thromboelastography changes on day 3 postoperatively and later with restoration registered by day 7 postoperatively. Patients who arrived to hospital later had more pronounced thromboelastography changes that were observed already 1 day postoperatively with restoration on day 10. Patients in both groups matched for age, gender, type of injury, blood loss, and overall performance.