Is early treatment of disseminated intravascular coagulation beneficial in septic patients?
نویسندگان
چکیده
We read with interest the recent issue of Critical Care, particularly the article by Gando and colleagues [1] about the validation of the scoring systems for disseminated intravascular coagulation (DIC). Mortality in patients with DIC according to diagnostic criteria of the Japanese Association of Acute Medicine (JAAM; 31.8%) was similar to that in patients with International Society of Thrombosis and Haemostasis (ISTH) overt-DIC (30.1%). A previous report [2] showed different results; mortality was significantly higher in patients with overt-DIC (34.4%) than in those with JAAM DIC (17.2%). The difference in the mortality between this report [1] and the previous report [2] may depend on not only the sensitivity of the diagnostic criteria, but also on the antithrombotic therapy (ATT).
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