Reporting of activated partial thromboplastin time (aPTT): Could we achieve better comparability of the results?

Activated partial thromboplastin time (aPTT) is determined and reported as clotting time in seconds aPTT(s), but it is presumed that reporting results as patient-to-normal clotting time ratio, aPTT(r), could minimize within-laboratory variability. The aim of study was to investigate differences in r...

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Permalink: http://skupnikatalog.nsk.hr/Record/nsk.NSK01001163327/Details
Matična publikacija: Biochemia medica (Online)
31 (2021), 2 ; str. 302-308
Glavni autori: Bronić, Ana (Author), Margetić, Sandra, Coen Herak, Desiree, Milić, Marija, Krešić, Branka, Radišić Biljak, Vanja, Leniček Krleža, Jasna
Vrsta građe: e-članak
Jezik: eng
Online pristup: https://doi.org/10.11613/BM.2021.020708
Elektronička verzija članka
Elektronička verzija članka
Elektronička verzija članka
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024 7 |2 doi  |a 10.11613/BM.2021.020708 
035 |a (HR-ZaNSK)001163327 
040 |a HR-ZaNSK  |b hrv  |c HR-ZaNSK  |e ppiak 
041 0 |a eng 
042 |a croatica 
044 |a ci  |c hr 
080 1 |2 2011 
100 1 |a Bronić, Ana  |4 aut  |9 HR-ZaNSK 
245 1 0 |a Reporting of activated partial thromboplastin time (aPTT): Could we achieve better comparability of the results?  |h [Elektronička građa]  |c Ana Bronić, Sandra Margetić, Desiree Coen Herak, Marija Milić, Branka Krešić, Vanja Radišić Biljak, Jasna Leniček Krleža. 
300 |b Ilustr. 
504 |a Bibliografija: 
504 |a Summary. 
520 |a Activated partial thromboplastin time (aPTT) is determined and reported as clotting time in seconds aPTT(s), but it is presumed that reporting results as patient-to-normal clotting time ratio, aPTT(r), could minimize within-laboratory variability. The aim of study was to investigate differences in reporting aPTT results that can affect comparability of the results among Croatian laboratories and suggest further steps for its harmonization.The questionnaire on aPTT reporting practice was distributed to 83 laboratories through Survey Monkey application in March 2019 as the part of the first regular round of Croatian Centre for Quality Assessment in Laboratory Medicine proficiency testing.The survey response rate was 0.49. Majority of laboratories report aPTT results as both, seconds and ratio. Participants reported use of 23 different aPTT(s) reference intervals along with 17 different combinations of reagent/coagulometer and 25 aPTT(s) denominators of different origin for aPTT(r) calculation. Despite the same aPTT(s) results, the use of different denominators caused a dispersion of aPTT(r) results that can lead to exceeding external quality assessment performance criteria of 7%, particularly when results were compared for the same reagent group only. By applying aPTT(s) reference interval mean as denominator for calculation of aPTT(r) reference interval better concordance to harmonized one was obtained (17 vs. 27; χ2 = 3.972; P = 0.046).In order to improve comparability of the results, laboratories are advised to use mean of aPTT(s) reference interval as denominator for aPTT(r) calculation. Type of coagulometer need to be considered when evaluating aPTT proficiency test results and its currently acceptable limit of performance evaluated accordingly. 
700 1 |a Margetić, Sandra  |4 aut  |9 HR-ZaNSK 
700 1 |a Coen Herak, Desiree  |4 aut  |9 HR-ZaNSK 
700 1 |a Milić, Marija  |4 aut  |9 HR-ZaNSK 
700 1 |a Krešić, Branka  |4 aut  |9 HR-ZaNSK 
700 1 |a Radišić Biljak, Vanja  |4 aut  |9 HR-ZaNSK 
700 1 |a Leniček Krleža, Jasna  |4 aut  |9 HR-ZaNSK 
773 0 |t Biochemia medica (Online)  |x 1846-7482  |g 31 (2021), 2 ; str. 302-308  |w nsk.(HR-ZaNSK)000655372 
981 |b Be2021 
856 4 0 |u https://doi.org/10.11613/BM.2021.020708 
856 4 0 |u https://www.biochemia-medica.com/en/journal/31/2/10.11613/BM.2021.020708  |y Elektronička verzija članka 
856 4 0 |u https://www.biochemia-medica.com/en/journal/31/2/10.11613/BM.2021.020708/fullArticle  |y Elektronička verzija članka 
856 4 1 |y Digitalna.nsk.hr 
856 4 0 |u https://hrcak.srce.hr/258891  |y Elektronička verzija članka