Developmental haemostasis Impact for clinical haemostasis laboratories

Developmental haemostasis is a concept, now universally accepted, introduced by Andrew et al. in the late 1980's. However, coagulation analysers and reagents have changed significantly over the past 15 years. Coagulation testing is known to be sensitive to changes in individual reagents and ana...

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Veröffentlicht in:Thrombosis and haemostasis 2006-02, Vol.95 (2), p.362-372
Hauptverfasser: MONAGLE, Paul, BARNES, Chris, AULDIST, Alex, CROCK, Cathy, ROY, Neil, ROWLANDS, Shelley, IGNJATOVIC, Vera, FURMEDGE, Janine, NEWALL, Fiona, CHAN, Anthony, DE ROSA, Lidia, HAMILTON, Simone, RAGG, Philip, ROBINSON, Stephen
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container_end_page 372
container_issue 2
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container_title Thrombosis and haemostasis
container_volume 95
creator MONAGLE, Paul
BARNES, Chris
AULDIST, Alex
CROCK, Cathy
ROY, Neil
ROWLANDS, Shelley
IGNJATOVIC, Vera
FURMEDGE, Janine
NEWALL, Fiona
CHAN, Anthony
DE ROSA, Lidia
HAMILTON, Simone
RAGG, Philip
ROBINSON, Stephen
description Developmental haemostasis is a concept, now universally accepted, introduced by Andrew et al. in the late 1980's. However, coagulation analysers and reagents have changed significantly over the past 15 years. Coagulation testing is known to be sensitive to changes in individual reagents and analysers. We hypothesised that the reference ranges developed by Andrew et al. may not be appropriate for use in a modern coagulation laboratory. Our study was designed to determine whether a current day coagulation testing system (STA Compact analyser and Diagnostica Stago reagent system) was sensitive to age-related changes in coagulation assays. This is the first large scale study since Andrew et al. to determine the age associated numerical changes in coagulation proteins. Our results confirm the concepts of developmental haemostasis elucidated by Andrew et al. However, our results clearly demonstrate that the absolute values of reference ranges for coagulation assays in neonates and children vary with analyser and reagent systems. The results confirm the need for coagulation laboratories to develop age-related reference ranges specific to their own testing systems. Without this, accurate diagnosis and management of neonates and children with suspected bleeding or clotting disorders is not possible. Finally we present age related reference ranges for D-dimers, TFPI, and endogenous thrombin potential, previously not described.
doi_str_mv 10.1160/TH05-01-0047
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The results confirm the need for coagulation laboratories to develop age-related reference ranges specific to their own testing systems. Without this, accurate diagnosis and management of neonates and children with suspected bleeding or clotting disorders is not possible. Finally we present age related reference ranges for D-dimers, TFPI, and endogenous thrombin potential, previously not described.</abstract><cop>Stuttgart</cop><pub>Schattauer Verlag für Medizin und Naturwissenschaften</pub><pmid>16493500</pmid><doi>10.1160/TH05-01-0047</doi><tpages>11</tpages></addata></record>
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subjects Adolescent
Adult
Age Factors
Biological and medical sciences
Blood Coagulation Tests - instrumentation
Blood Coagulation Tests - standards
Blood coagulation. Blood cells
Child
Child, Preschool
Clinical Laboratory Techniques
developmental haemostasis
Fibrin Fibrinogen Degradation Products - standards
Fundamental and applied biological sciences. Psychology
Hematologic and hematopoietic diseases
Hemostasis
Human Development - physiology
Humans
Infant
Infant, Newborn
Laboratories, Hospital
Lipoproteins - standards
Medical sciences
Molecular and cellular biology
paediatric
Platelet diseases and coagulopathies
Reference ranges
Reference Values
Thrombin - standards
title Developmental haemostasis Impact for clinical haemostasis laboratories
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