| Accuracy and clinical utility of a portable coagulometer in an emergency setting. | |
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MedLine Citation:
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PMID: 21721433 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: There are limited data concerning accuracy of portable coagulometer in emergency setting. Objective: To evaluate the accuracy of the CoaguChek XS international normalized ratio (INR) monitor compared to the standard laboratory method in emergency department. MATERIAL AND METHOD: Emergency room patients who required coagulation test were recruited. Parallel INR measurements between portable coagulometer and standard laboratory were performed. RESULTS: Fifty-five patients with a mean age of 59.1 +/- 15.7 years (20-87) were included. Men constituted 56.4%. Indications for testing were as follows: acute stroke 72.7%; abnormal bleeding 7.3%; taking anticoagulant 7.3%; and others 12.7%. Mean time +/- SD used from blood drawn to INR result report was 65.02 +/- 24.5 minutes for standard laboratory and 1 minute for portable coagulometer. Mean difference of INR result from portable coagulometer and standard laboratory was 0.02 +/- 0.13 and an excellence correlation between INR (r = 0.969) was demonstrated. There was no significant difference between the INR value from the two methods (p = 0.34). CONCLUSION: The use of portable coagulometer (CoaguChek XS) in emergency setting was accurate and required less time. Acute ischemic stroke patients are likely to benefit from a timely clinical decision making for thrombolysis medication. |
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Authors:
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Chatchawan Rattanabannakit; Yongchai Nilanont; Chulaluk Komoltri; Narapom Prayoonwiwat; Niphon Poungvarin |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of the Medical Association of Thailand = Chotmaihet thangphaet Volume: 94 Suppl 1 ISSN: 0125-2208 ISO Abbreviation: J Med Assoc Thai Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-07-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7507216 Medline TA: J Med Assoc Thai Country: Thailand |
Other Details:
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Languages: eng Pagination: S89-93 Citation Subset: IM |
Affiliation:
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Division ofNeurology, Department of Medicine, Faculty ofMedicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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