Sex dimorphisms in coagulation: Implications in trauma‐induced coagulopathy and trauma resuscitation

Trauma‐induced coagulopathy (TIC) is one of the leading causes of preventable death in injured patients. Consequently, it is imperative to understand the mechanisms underlying TIC and how to mitigate this mortality. An opportunity for advancement stems from the awareness that coagulation demonstrate...

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Veröffentlicht in:American journal of hematology 2024-04, Vol.99 (S1), p.S28-S35
Hauptverfasser: Coleman, Julia R., Gumina, Richard, Hund, Thomas, Cohen, Mitchell, Neal, Matthew D., Townsend, Kristy, Kerlin, Bryce A.
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container_end_page S35
container_issue S1
container_start_page S28
container_title American journal of hematology
container_volume 99
creator Coleman, Julia R.
Gumina, Richard
Hund, Thomas
Cohen, Mitchell
Neal, Matthew D.
Townsend, Kristy
Kerlin, Bryce A.
description Trauma‐induced coagulopathy (TIC) is one of the leading causes of preventable death in injured patients. Consequently, it is imperative to understand the mechanisms underlying TIC and how to mitigate this mortality. An opportunity for advancement stems from the awareness that coagulation demonstrates a strong sex‐dependent effect. Females exhibit a relative hypercoagulability compared to males, which persists after injury and confers improved outcomes. The mechanisms underlying sex dimorphisms in coagulation and its protective effect after injury have yet to be elucidated. This review explores sex dimorphisms in enzymatic hemostasis, fibrinogen, platelets, and fibrinolysis, with implications for resuscitation of patients with TIC. Sex dimorphisms in coagulation have significant implications in understanding and treating trauma‐induced coagulopathy. Don't miss this review by Coleman et al. on the clinical implications of sex‐specific differences in hemostatic capacity.
doi_str_mv 10.1002/ajh.27296
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source Wiley Online Library Journals Frontfile Complete
subjects Coagulation
Fibrinogen
Fibrinolysis
Hemostasis
Sex
Trauma
title Sex dimorphisms in coagulation: Implications in trauma‐induced coagulopathy and trauma resuscitation
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