Age dependency for coagulation parameters in paediatric populations. Results of a multicentre study aimed at defining the age-specific reference ranges

Understanding of developmental haemostasis is critical to ensure optimal prevention, diagnosis, and treatment of haemorrhagic and thrombotic diseases in children. As coagulation test results are known to be dependent on the reagents/analysers used, it is recommended for each laboratory to define the...

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Veröffentlicht in:Thrombosis and haemostasis 2016-07, Vol.116 (1), p.9-16
Hauptverfasser: Toulon, Pierre, Berruyer, Micheline, Brionne-François, Marie, Grand, François, Lasne, Dominique, Telion, Caroline, Arcizet, Julien, Giacomello, Roberta, De Pooter, Neila
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container_issue 1
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container_title Thrombosis and haemostasis
container_volume 116
creator Toulon, Pierre
Berruyer, Micheline
Brionne-François, Marie
Grand, François
Lasne, Dominique
Telion, Caroline
Arcizet, Julien
Giacomello, Roberta
De Pooter, Neila
description Understanding of developmental haemostasis is critical to ensure optimal prevention, diagnosis, and treatment of haemorrhagic and thrombotic diseases in children. As coagulation test results are known to be dependent on the reagents/analysers used, it is recommended for each laboratory to define the age-dependent reference ranges by using its own technical condition. That study was carried out in seven centers to establish age-specific reference ranges using the same reagents and analyser. Plasma samples were obtained from 1437 paediatric patients from the following age groups: 15 days-4 weeks (n=36), 1-5 months (n=320), 6-12 months (n=176), 1-5 years (n=507), 6-10 years (n=132) and 11-17 years (n=262). Indication of coagulation testing was pre-operative screening for non-acute diseases in most cases. PT values were similar in the different age groups to those in adults, whereas longer aPTTs were demonstrated in the younger children. Plasma levels of all clotting factors, except for FV, were significantly decreased (p
doi_str_mv 10.1160/TH15-12-0964
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Results of a multicentre study aimed at defining the age-specific reference ranges</title><source>MEDLINE</source><source>Thieme Connect Journals</source><creator>Toulon, Pierre ; Berruyer, Micheline ; Brionne-François, Marie ; Grand, François ; Lasne, Dominique ; Telion, Caroline ; Arcizet, Julien ; Giacomello, Roberta ; De Pooter, Neila</creator><creatorcontrib>Toulon, Pierre ; Berruyer, Micheline ; Brionne-François, Marie ; Grand, François ; Lasne, Dominique ; Telion, Caroline ; Arcizet, Julien ; Giacomello, Roberta ; De Pooter, Neila</creatorcontrib><description>Understanding of developmental haemostasis is critical to ensure optimal prevention, diagnosis, and treatment of haemorrhagic and thrombotic diseases in children. As coagulation test results are known to be dependent on the reagents/analysers used, it is recommended for each laboratory to define the age-dependent reference ranges by using its own technical condition. That study was carried out in seven centers to establish age-specific reference ranges using the same reagents and analyser. Plasma samples were obtained from 1437 paediatric patients from the following age groups: 15 days-4 weeks (n=36), 1-5 months (n=320), 6-12 months (n=176), 1-5 years (n=507), 6-10 years (n=132) and 11-17 years (n=262). Indication of coagulation testing was pre-operative screening for non-acute diseases in most cases. PT values were similar in the different age groups to those in adults, whereas longer aPTTs were demonstrated in the younger children. Plasma levels of all clotting factors, except for FV, were significantly decreased (p&lt;0.0001) in the youngest children, adult values being usually reached before the end of the first year. The same applied to antithrombin, protein C/S, and plasminogen. In contrast, FVIII and VWF levels were elevated in the youngest children and returned to adult values within six months. The same applied to D-dimer levels, which were found elevated, particularly until six months of life, until puberty. These data suggest that most coagulation test results are highly dependent on age, mainly during the first year of life, and that age-specific reference ranges must be used to ensure proper evaluation of coagulation in children.</description><identifier>ISSN: 0340-6245</identifier><identifier>EISSN: 2567-689X</identifier><identifier>DOI: 10.1160/TH15-12-0964</identifier><identifier>PMID: 26988943</identifier><language>eng</language><publisher>Germany</publisher><subject>Adolescent ; Age Factors ; Blood Coagulation ; Blood Coagulation Factors - metabolism ; Blood Coagulation Tests ; Child ; Child Development ; Child, Preschool ; Female ; Hemostasis ; Humans ; Infant ; Infant, Newborn ; Male ; Reference Values</subject><ispartof>Thrombosis and haemostasis, 2016-07, Vol.116 (1), p.9-16</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c248t-3767e5a268fd817d02a113da2884e7589275f1186c967883027c7b553a9fc8a33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26988943$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toulon, Pierre</creatorcontrib><creatorcontrib>Berruyer, Micheline</creatorcontrib><creatorcontrib>Brionne-François, Marie</creatorcontrib><creatorcontrib>Grand, François</creatorcontrib><creatorcontrib>Lasne, Dominique</creatorcontrib><creatorcontrib>Telion, Caroline</creatorcontrib><creatorcontrib>Arcizet, Julien</creatorcontrib><creatorcontrib>Giacomello, Roberta</creatorcontrib><creatorcontrib>De Pooter, Neila</creatorcontrib><title>Age dependency for coagulation parameters in paediatric populations. Results of a multicentre study aimed at defining the age-specific reference ranges</title><title>Thrombosis and haemostasis</title><addtitle>Thromb Haemost</addtitle><description>Understanding of developmental haemostasis is critical to ensure optimal prevention, diagnosis, and treatment of haemorrhagic and thrombotic diseases in children. As coagulation test results are known to be dependent on the reagents/analysers used, it is recommended for each laboratory to define the age-dependent reference ranges by using its own technical condition. That study was carried out in seven centers to establish age-specific reference ranges using the same reagents and analyser. Plasma samples were obtained from 1437 paediatric patients from the following age groups: 15 days-4 weeks (n=36), 1-5 months (n=320), 6-12 months (n=176), 1-5 years (n=507), 6-10 years (n=132) and 11-17 years (n=262). Indication of coagulation testing was pre-operative screening for non-acute diseases in most cases. 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Results of a multicentre study aimed at defining the age-specific reference ranges</atitle><jtitle>Thrombosis and haemostasis</jtitle><addtitle>Thromb Haemost</addtitle><date>2016-07-04</date><risdate>2016</risdate><volume>116</volume><issue>1</issue><spage>9</spage><epage>16</epage><pages>9-16</pages><issn>0340-6245</issn><eissn>2567-689X</eissn><abstract>Understanding of developmental haemostasis is critical to ensure optimal prevention, diagnosis, and treatment of haemorrhagic and thrombotic diseases in children. As coagulation test results are known to be dependent on the reagents/analysers used, it is recommended for each laboratory to define the age-dependent reference ranges by using its own technical condition. That study was carried out in seven centers to establish age-specific reference ranges using the same reagents and analyser. 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These data suggest that most coagulation test results are highly dependent on age, mainly during the first year of life, and that age-specific reference ranges must be used to ensure proper evaluation of coagulation in children.</abstract><cop>Germany</cop><pmid>26988943</pmid><doi>10.1160/TH15-12-0964</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Age Factors
Blood Coagulation
Blood Coagulation Factors - metabolism
Blood Coagulation Tests
Child
Child Development
Child, Preschool
Female
Hemostasis
Humans
Infant
Infant, Newborn
Male
Reference Values
title Age dependency for coagulation parameters in paediatric populations. Results of a multicentre study aimed at defining the age-specific reference ranges
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