What is Known:
• The early phase of septicemia might be difficult to be recognized in neonates. In adult septic patients, the diagnostic and prognostic role of thromboelastometry (ROTEM) have been extensively investigated.
• Limited data are available on the role of ROTEM as an indicator of early neonatal sepsis.
What is New:
• ROTEM measurements indicate an early appearance of hypocoagulability in neonatal sepsis, while the degree of hypocoagulation might be associated with severity of sepsis.
• ROTEM could be a useful tool in the early detection of sepsis in neonates.