International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access
Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc
Journal website https://www.theijcp.org

Original Article

Volume 13, Number 1, May 2024, pages 8-13


Prothrombin Complex Concentrate to Treat Coagulation Disturbances in Pediatric Patients With Intracranial Pathology Including Traumatic Brain Injury

Figure

Figure 1.
Figure 1. Histogram showing distribution of the 71 doses of 4F-PCC in the cohort of 47 patients with the dose in units/kg on the x-axis and the number of doses on the y-axis. 4F-PCC: four-factor prothrombin complex concentration.

Tables

Table 1. Demographic Data of the Study Cohort
 
ParameterMean ± SD with range or number
SD: standard deviation.
Number47
Age (years)8.97 ± 6.78, 1 day to 18 years
Weight (kg)35.44 ± 27.11, 3.2 to 96.5 kg
Gender (male/female)29/18

 

Table 2. Primary Etiology of Coagulation Disturbance
 
EtiologyN (%)
Intracranial hemorrhage24 (51%)
Increased intracranial pressure/hypoxic-ischemic encephalopathy13 (28%)
Traumatic brain injury7 (15%)
Hemorrhagic shock3 (6%)

 

Table 3. Dosing of 4F-PCC in the Study Cohort
 
ParameterDose (units/kg)
Range11 - 75
Median26
Mean ± SD30.4 ± 14.7
IQR20.5 - 38.8 (18)
Dose (units/kg)Frequency
Frequency is based on percentage of the total of 71 doses. 4F-PCC: four-factor prothrombin complex concentration; IQR: interquartile range; SD: standard deviation.
< 2014 (20%)
20 - 2934 (48%)
30 - 397 (10%)
40 - 493 (4%)
50 - 5910 (14%)
≥ 603 (4%)

 

Table 4. Laboratory Coagulation Parameters Before and After 4F-PCC
 
Coagulation parameterParameter decreasedCorrected to normal value*Value (s) before and after 4F-PCC**
*Percentage based on numbers that were high prior to 4F-PCC. **Paired t-test, P < 0.05 was considered significant. 4F-PCC: four-factor prothrombin complex concentration; INR: international normalized ratio; PT: prothrombin time; PTT: partial thromboplastin time.
INR78%38%2.4 ± 1.4 to 2.0 ± 1.5, P = 0.11
PT74%1.6%25 ± 11 to 22 ± 11, P = 0.03
PTT63%16%63 ± 48 to 70 ± 60, P = 0.36