FEISTY

2021 Haemostasis
4 ICUs
100 patients

Fibrinogen Early In Severe Trauma studY (FEISTY): results from an Australian multicentre randomised controlled pilot trial

Clinical Question

In adult trauma patients with major haemorrhage and hypofibrinogenaemia
does the use fibrinogen concentrate (FC) compared to cryoprecipitate (cryo)
result in a shorter time to administration?

Critical Appraisal

Key findings

Primary outcome: Median times for commencement of FC vs. cryo following hospital admission –
significantly reduced in FC group29 (23-40) minutes vs. 60 (40 – 80 minutes)Log rank test for equality of time to event, p = 0.0001

Critique

In severely injured, hypofibrinogenaemic patients the administration of FC
may be achieved faster than transfusion of cryoprecipitate

Population
Trauma Patients
Population Details
significant haemorrhage
Intervention Arms

Fibrinogen concentrate

Control Arms

Cryoprecipitate

Primary Outcome
Not recorded
Secondary Outcomes
Not recorded
P Value
0.0001

Outcome Results

Not recorded