Priority 1 from the Bleeding Disorder PSP
| UNCERTAINTY: What is the role and cost effectiveness of blood clotting tests that give immediate results at the bedside (point of care) in managing medical, surgical or obstetric haemorrhage? (JLA PSP Priority 1) | |
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| Overall ranking | 1 |
| JLA question ID | 0078/1 |
| Explanatory note | If a patient is bleeding then blood clotting tests are used to help manage patients and guide transfusion of blood products. Standardly blood samples are taken and tested in a laboratory. It can take 1-2 hours for the results of these tests to be available to the doctors. Different tests are now available which allow blood to be tested by clinicians next to the patient, allowing a result in about 40 minutes. The tests are different, and the role and effectiveness of the bedside tests compared to traditional tests in managing these patients is not known. |
| Evidence | No systematic reviews Collis, R. and E. Guasch (2017). "Managing major obstetric haemorrhage: Pharmacotherapy and transfusion." Best Practice & Research. Clinical Anaesthesiology 31(1): 107-124. https://dx.doi.org/10.1016/j.bpa.2017.02.001 |
| Health Research Classification System category | Blood |
| Extra information provided by this PSP | |
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| Original uncertainty examples | What is the role and cost effectiveness of blood clotting tests that give immediate results at the bedside (point of care) in managing medical, surgical or obstetric haemorrhage? |
| Submitted by | Not available |
| PSP information | |
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| PSP unique ID | 0078 |
| PSP name | Bleeding Disorders |
| Total number of uncertainties identified by this PSP. | 66 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 7 July 2018 |