Simplified Method for Local Correction of System International Normalized Ratio
Abstract Background International normalized ratio (INR) derivation is dependent on the international sensitivity index (ISI) of thromboplastin. It varies with instrument and reagents used. Objective To evaluate the role of a correction factor in the derivation of INR. Methods We studied prothrombin...
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Veröffentlicht in: | Laboratory medicine 2017-08, Vol.48 (3), p.244-248 |
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description | Abstract
Background
International normalized ratio (INR) derivation is dependent on the international sensitivity index (ISI) of thromboplastin. It varies with instrument and reagents used.
Objective
To evaluate the role of a correction factor in the derivation of INR.
Methods
We studied prothrombin time (PT) and INR from patients using 3 thromboplastins of varying ISI values. The correction factor was applied to the observed INR to obtain a corrected INR.
Results
The difference between corrected INR and observed INR values varies from −0.8 through 0.96.
Conclusions
Corrected INR is dependent on PT only. It can be applied to all patients irrespective of cause for elevated PT. |
doi_str_mv | 10.1093/labmed/lmx028 |
format | Article |
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Background
International normalized ratio (INR) derivation is dependent on the international sensitivity index (ISI) of thromboplastin. It varies with instrument and reagents used.
Objective
To evaluate the role of a correction factor in the derivation of INR.
Methods
We studied prothrombin time (PT) and INR from patients using 3 thromboplastins of varying ISI values. The correction factor was applied to the observed INR to obtain a corrected INR.
Results
The difference between corrected INR and observed INR values varies from −0.8 through 0.96.
Conclusions
Corrected INR is dependent on PT only. It can be applied to all patients irrespective of cause for elevated PT.</description><identifier>ISSN: 0007-5027</identifier><identifier>EISSN: 1943-7730</identifier><identifier>DOI: 10.1093/labmed/lmx028</identifier><identifier>PMID: 28934513</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Female ; Humans ; International Normalized Ratio - standards ; Linear Models ; Male ; Middle Aged ; Prothrombin Time - standards ; Thromboplastin</subject><ispartof>Laboratory medicine, 2017-08, Vol.48 (3), p.244-248</ispartof><rights>American Society for Clinical Pathology, 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2017</rights><rights>American Society for Clinical Pathology, 2017. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><rights>Copyright © 2017 American Society for Clinical Pathology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c349t-f6e6c08478804bc0a54b279a7416e7ed302723621b6925622f3194dffa23d34e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28934513$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chandrashekar, Vani</creatorcontrib><title>Simplified Method for Local Correction of System International Normalized Ratio</title><title>Laboratory medicine</title><addtitle>Lab Med</addtitle><description>Abstract
Background
International normalized ratio (INR) derivation is dependent on the international sensitivity index (ISI) of thromboplastin. It varies with instrument and reagents used.
Objective
To evaluate the role of a correction factor in the derivation of INR.
Methods
We studied prothrombin time (PT) and INR from patients using 3 thromboplastins of varying ISI values. The correction factor was applied to the observed INR to obtain a corrected INR.
Results
The difference between corrected INR and observed INR values varies from −0.8 through 0.96.
Conclusions
Corrected INR is dependent on PT only. It can be applied to all patients irrespective of cause for elevated PT.</description><subject>Female</subject><subject>Humans</subject><subject>International Normalized Ratio - standards</subject><subject>Linear Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prothrombin Time - standards</subject><subject>Thromboplastin</subject><issn>0007-5027</issn><issn>1943-7730</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkM9LwzAUx4Mobk6PXqXgxUtdmqRJc5Thj8F04PQc0jbBjrSpSQvOv97UTgQvnh7vy-d9ed8vAOcJvE4gx3Mj81qVc1N_QJQdgGnCCY4Zw_AQTCGELE4hYhNw4v02rIRTdAwmKOOYpAmegvWmqltT6UqV0aPq3mwZaeuilS2kiRbWOVV0lW0iq6PNzneqjpZNp1wjBzUgT9bV0lSf4fx50E7BkZbGq7P9nIHXu9uXxUO8Wt8vFzeruMCEd7GmihYwIyzLIMkLKFOSI8YlIwlVTJU4PI0wRUlOOUopQhqHYKXWEuESE4Vn4Gr0bZ1975XvRF35QhkjG2V7LwKNaIYzygN6-Qfd2j4kMANFGSSUMRioeKQKZ713SovWVbV0O5FAMTQtxqbF2HTgL_au_bf8Q_9U-_uh7dt_vL4AsYaHvg</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Chandrashekar, Vani</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170801</creationdate><title>Simplified Method for Local Correction of System International Normalized Ratio</title><author>Chandrashekar, Vani</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c349t-f6e6c08478804bc0a54b279a7416e7ed302723621b6925622f3194dffa23d34e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Female</topic><topic>Humans</topic><topic>International Normalized Ratio - standards</topic><topic>Linear Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prothrombin Time - standards</topic><topic>Thromboplastin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chandrashekar, Vani</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Laboratory medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chandrashekar, Vani</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simplified Method for Local Correction of System International Normalized Ratio</atitle><jtitle>Laboratory medicine</jtitle><addtitle>Lab Med</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>48</volume><issue>3</issue><spage>244</spage><epage>248</epage><pages>244-248</pages><issn>0007-5027</issn><eissn>1943-7730</eissn><abstract>Abstract
Background
International normalized ratio (INR) derivation is dependent on the international sensitivity index (ISI) of thromboplastin. It varies with instrument and reagents used.
Objective
To evaluate the role of a correction factor in the derivation of INR.
Methods
We studied prothrombin time (PT) and INR from patients using 3 thromboplastins of varying ISI values. The correction factor was applied to the observed INR to obtain a corrected INR.
Results
The difference between corrected INR and observed INR values varies from −0.8 through 0.96.
Conclusions
Corrected INR is dependent on PT only. It can be applied to all patients irrespective of cause for elevated PT.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>28934513</pmid><doi>10.1093/labmed/lmx028</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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issn | 0007-5027 1943-7730 |
language | eng |
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source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
subjects | Female Humans International Normalized Ratio - standards Linear Models Male Middle Aged Prothrombin Time - standards Thromboplastin |
title | Simplified Method for Local Correction of System International Normalized Ratio |
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