Disseminated Intravascular Coagulopathy in the First 24 Hours After Trauma: The Association Between ISTH Score and Anatomopathologic Evidence

Abstract

d-dimer has a disproportional participation in trauma DIC scores. Within 24 hours of trauma, most severely injured patients have DIC scores "suggestive for" or of "overt DIC" but no anatomopathologic evidence of DIC. Considering pathologic findings as the gold standard diagnosis, then DIC is exceptionally uncommon and the ISTH score should not be used for trauma.