1.Observation on the correlation between the PIVKAL test for PIVKA-II assay and prothrombin time in patients with coumarin therapy.
Jung Woon LEE ; Hyun Ok KIM ; Hong Sup YOON ; Soon Kyung SONG ; Byung Chul CHANG ; Meyun Shick KANG
Korean Journal of Hematology 1991;26(1):65-71
No abstract available.
Humans
;
Prothrombin Time*
;
Prothrombin*
2.The factors related to the decreased prothrombin level in newborns at the National Institute of Obstetrics and Gynecology
Journal of Medical and Pharmaceutical Information 2004;0(2):24-27
Background: The newborns with deficiency of vitamin K will be at high risk of haemorrhagic syndrome. Various risk factors from mother and child have been investigated by a number of authors previously. In order to contribute towards preventing haemorrhage effectively, studying various related factors to decreased prothrombin level were required. Objective: To study the rate of prothrombin deficiency in newborns at the National Institute of Obstetrics and Gynecology to discover the factors related to prothrombin levels; to prevent haemorrhaging. Subject and methods: A cross-sectional study was conducted in 449 newborns, born at the National Institute of Obstetrics and Gynecology. Results and Conclusion: The rate of prothrombin related to gestation age, birth weight, Apgar index during birth and with or without artificial help. Antibiotic usage of the mothers affected the prothrombin level of newborns. The lower prothrombin level in premature newborns with low birth weight, receiving artificial help, Apgar index \u22647 marks. Early identification of risk factors of decreased prothrombin level contribute towards the effective prevention of haemorrhage in newborns was required.
prothrombin
;
haemorrhage
3.Experimental estimating the anti hemorroidal effects of "Hße hoa t¸n"
Journal of Medical Research 2000;13(3):39-44
The "Hoe hoa tan" (HHT) is an old formula of traditional medicine containing of Sophora japonica L, Thuja orientalis L, Elsholtzia cristata wild and Citrus sp. In clinical study, HHT has rather good effects in treatment of acute hemorrhoids. In the experiments on animals, HTT reduced pain, shorterned the bleeding time, increased also the prothrombin rate and reduces the acute inflammatory effect of carragenin. With above effects the " Hoe hoa tan " formula is suitable to treat acute hemorrhoids
Hemorrhoids
;
Prothrombin
;
Medicine, Traditional
4.Utility of CoaguChek XS for Monitoring the Prothrombin Time.
Rojin PARK ; Yong Hyun KIM ; Kyung Ock KWON ; Jongsung NA ; Yong Soon WON ; Ki Bum SUNG ; Nae Hee LEE ; Tae Youn CHOI ; Jeong Won SHIN ; Hee Bong SHIN ; Yong Wha LEE ; You Kyeong LEE
Tuberculosis and Respiratory Diseases 2008;65(6):471-475
BACKGROUND: In order to achieve a maintenance level and to prevent hemorrhagic complications, regular monitoring of the INR is mandatory for patients on oral anticoagulation therapy (OAT). A point-of-care instrument for INR monitoring is convenient for users, but the accuracy of the results has been controversial, and so this calls for exact evaluation of the point-of-care instrument that is used for INR monitoring. METHODS: From Aug 2007 through Feb 2008, 85 patients on OAT among the all the patients who were admitted to Soonchunhyang University Bucheon Hospital were involved in this study. Parallel measurements of the PT INR were performed using a CoaguChek-XS and, a CA-7000 laboratory reference instrument and the results were analyzed. In addition, the patients' clinical data, including the diagnosis and the frequency and interval of the INR measurements, were also analyzed. RESULTS: Of the 85 patients, 25 were admitted more than once to undergo INR testing and the mean interval between testing was 8.6 weeks with 39% and 38% of the tests being less than INR 2 units with using the CoaguChek-XS and the reference method, respectively. The coefficients of variation of CoaguChek-XS were 4.50 and 2.45 for the high and low INR patients, respectively. An excellent correlation was found between the two methods with a R2 of 0.966 (p<0.001). Through Bland-Altman analysis, the mean INR difference between the two methods was 0.13 with the limit of agreement being -0.47 +0.72 with a 95% confidence interval. CoaguChek-XS was shown to overestimate the INR value for patients with an increasing INR, as compared to the reference method. CONCLUSION: CoaguChek-XS demonstrated great precision and accuracy for patients on OAT when compared to the laboratory INR results. Accordingly, the instrument should help to monitor the INR in the patients on OAT.
Avena
;
Humans
;
International Normalized Ratio
;
Organothiophosphorus Compounds
;
Prothrombin
;
Prothrombin Time
5.Non-parametric clinical laboratory reference interval estimation in volunteer blood donors: An example for prothrombin time and partial thromboplastin time
Mark Angelo Ang ; Nelson Geraldino ; Ariel Vergel de Dios ; Marimin Abad-Lapuebla
Philippine Journal of Pathology 2022;7(2):23-27
Introduction:
To date, there are no reference intervals for prothrombin time (PT) and activated partial thromboplastin time (APTT) based on “normal” Filipino adults. The common practice in most laboratories is to adopt manufacturer provided values or foreign literature even if the importance of establishing or at least verifying laboratory reference intervals has been stressed by Clinical Laboratory Standards Institute (CLSI).
Objectives:
Here we aim to describe our experience in using a simple non-parametric method to generate reference intervals for PT and APTT, from healthy Filipino volunteer blood donors.
Methodology:
We used a de novo, a priori non-parametric estimation method following the CLSI guidelines on establishing reference intervals.
Results:
The non-parametric lower reference limit for PT is 12.55 seconds, with 90% confidence interval of 12.3 to 12.75 seconds. While the non-parametric upper reference limit for PT is 16.15 seconds, with 90% confidence interval of 15.55 to 16.55 seconds. The non-parametric lower reference limit for activated partial thromboplastin time is 26.12 seconds, with 90% confidence interval of 22.95 to 27.1 seconds, and the non-parametric upper reference limit for activated partial thromboplastin time is 37.44 seconds, with 90% confidence interval of 36.75 to 38.65 seconds. The PT and APTT reference intervals were different from foreign sources and manufacturer provided values in terms of interval width and values of the reference limits by 2 to 4 seconds.
Conclusion and Recommendations
Estimation of coagulation reference intervals from volunteer health blood donors is doable, simple, and practical. Collaborative multi-center efforts may be done to expand the pool of reference individuals that are included and increase the representativeness of the reference intervals generated. This simple method can also be used to generate reference intervals for other clinical laboratory assays and may also be extended to at least verify reference intervals in special populations like pregnant women, the elderly, and the pediatric population.
Prothrombin Time
;
Partial Thromboplastin Time
6.Other Physicians' Recognition and Satisfaction to the Psychiatric Consultation Service in a University Hospital.
Journal of Korean Neuropsychiatric Association 2002;41(6):1209-1222
OBJECTIVE: The aim of this study were to investigate degree of satisfaction in referring physicians' psychiatric consultation services and their attitudes and opinions toward psychiatry, and the correlation between two them. METHOD: A total of 159 survey questionnaire were distributed to physicians in a University Hospital. The questionnaires contained the level of satisfaction in referring physicians' psychiatric consultation services and their attitudes and opinions toward psychiatry. 135 surveys were returned, representing 85% return rate. Statistical method used were Cronbach's alpha coefficient for testing reliability, factor analysis for testing validity, and t-test or ANOVA with SAS. RESULTS: Internal consistency reliability was tested by Cronbach's alpha. Cronbach's alpha was 0.8594 for total 23 items. Twenty-three items and seven factors were emerged and these contributed 66.8% of the variance in the total score. Factor I in the psychiatric consultation questionnaire was positively correlated with overall merits of the field of psychiatry in the attitude questionnaire, factor II in the psychiatric consultation questionnaire was positively correlated with possible abuses and social criticisms in the attitude questionnaire, factor III in the psychiatric consultation questionnaire was positively correlated with efficacy in the attitude questionnaire, factor V in the psychiatric consultation questionnaire was positively correlated with possible abuses and social criticisms in the attitude questionnaire, factor VI in the psychiatric consultation questionnaire was positively correlated with overall merits of the field of psychiatry in the attitude questionnaire. CONCLUSIONS: Our results supported the hypothesis that referring physicians' satisfaction to the psychiatric consultation was positively correlated with psychiatrists' attitude, and that physicians with more positive attitudes and those had more knowledge on psychiatry showed greater satisfaction in psychiatric consultation service than those without.
Factor V
;
Fibrinogen
;
Prothrombin
;
Surveys and Questionnaires
;
Thromboplastin
7.Does the Traditional Snakebite Severity Score Correctly Classify the Envenomated Patients with Snake?.
Seungoh KANG ; Jeongmi MOON ; Byeongjo CHUN
Journal of the Korean Society of Emergency Medicine 2016;27(3):272-279
PURPOSE: The aim of this study was to help set the domestic guidelines for administration of antivenom to envenomated patients with snake. METHODS: This retrospective observation case series comprised 128 patients with a snake envenomation. The patients were divided into two groups according to the need for additional antivenom after the initial treatment strategy based on the traditional snakebite severity grading scale; one group recovered successfully with the initial treatment decision and did not require an additional antivenom (N=85) and the other group required an additional administration of antivenom later (N=43). RESULTS: The group requiring additional administration of antivenom showed a higher local effect score and traditional snakebite severity grading at presentation, a shorter prothrombin and activated partial prothrombin time, a higher frequency of rhabdomyolysis and disseminated intravascular coagulopathy, and longer hospitalization than the group that did not require an antivenom later. The most common cause of additional administration was the progression of local symptoms. The independent factor associated with the need for additional antivenom administration was a local effect scoring of pain score (odds ratio, 2.477; 95% confidence interval, 1.309 to 4.689). The optimal cut off value of local effect scoring of pain was 1.5 with 62.8% sensitivity and 71.8% specificity. CONCLUSION: The local effect scoring of pain should be considered when treating patients who are envenomated with a snake using the traditional snakebite severity scale. If the local effect scoring of pain is more than 2, an increase of antivenom should be considered and the patients should be assessed frequently.
Antivenins
;
Hospitalization
;
Humans
;
Prothrombin
;
Prothrombin Time
;
Retrospective Studies
;
Rhabdomyolysis
;
Sensitivity and Specificity
;
Snake Bites*
;
Snakes*
;
Venoms
8.N-acetylcysteine for Acetaminophen Poisoning Without Hepatotoxicity: the Effect on the Prothrombin Time.
Won Jae LEE ; Kyu Nam PARK ; Seung Pil CHOI ; Mi Jin LEE ; Jung Hee WEE ; Byung Hak SO
Journal of the Korean Society of Emergency Medicine 2005;16(2):281-286
PURPOSE: In patients with acetaminophen poisoning, clinical severities are partly based on the prothrombin time. In several conditions, N-acetylcysteine (NAC) infusion has been shown to lower the prothrombin index. Thus, we studied the effect of NAC on the prothrombin time in patients intoxicated with acetaminophen without hepatotoxicity. METHODS: From March 2000 to Aug 2004, we reviewed the medical records of 149 patients with a diagnosis of acetaminophen poisoning. After 88 patients had been excluded (29 had hepatocellular injury, 14 had a probable risk based on their normogram, and 45 had a missing prothrombin index value), 61 patients were included in the analysis. The prothrombin time was recorded before and serially during NAC treatment. RESULTS: The mean baseline prothrombin time was 99.1%, 99.3% after intravenous NAC infusion, and 74.0% at 8 hrs after initiation of NAC infusion. It decreased rapidly at 16 hrs, and reached a steady baseline state between 16 to 24 hrs. A rapid increase in the baseline time occurred after 2-3 days when the NAC infusion was stopped. After oral NAC treatment, it decreased rapidly from 8 to 16 hrs, and reached a steady baseline after 2 days. There was a rapid increase after 3~4 days when the NAC infusion was stopped. CONCLUSION: In patients with uncomplicated acetaminophen poisoning, the decrease in the prothrombin index might be misinterpreted as a sign of liver failure, leading to a prolonged treatment.
Acetaminophen*
;
Acetylcysteine*
;
Diagnosis
;
Humans
;
Liver Failure
;
Medical Records
;
Poisoning*
;
Prothrombin Time*
;
Prothrombin*
9.Measurement of PT, aPTT, and Fibrinogen by Automatic Coagulation Analyzer, ACL9000.
Journal of Laboratory Medicine and Quality Assurance 2002;24(2):201-207
BACKGROUND: Newly developed ACL9000 automatic coagulation analyzer was evaluated in measurement of prothrombin time(PT), activated partial thromboplastin time(aPTT) and fibrinogen. METHODS: We studied precision including withtin-run and between-day precision. Normal reference ranges for PT, aPTT and fibrinogen were obtained in 60 healthy normal controls. The heparin sensitivity for aPTT and heparin interference for PT and fibrinogen were also determined. Lastly ACL9000 was compared with another coagulation analyzer, MLA Electra 1600. RESULTS: Precision of PT, aPTT and fibrinogen were acceptable, mostly. The normal reference ranges were as followings: 10.7-12.4 sec for PT, 28.7-40.8 sec for aPTT and 165-468 mg/dL for fibrinogen. The ranges of aPTT were from 49.8 sec to 84.7 sec in therapeutic heparin concentration(0.2-0.4 IU/mL) and heparin interfered determination of PT and fibrinogen in high concentrations. The comparability between ACL9000 and MLA Electra 1600 was good in determinations of PT and fibrinogen but not in determination of aPTT. CONCLUSIONS: We concluded that the performance of ACL9000 was acceptable and ACL9000 would be a useful analyzer for routine coagulation tests.
Fibrinogen*
;
Heparin
;
Partial Thromboplastin Time
;
Prothrombin
;
Prothrombin Time
;
Reference Values
;
Thromboplastin
10.Comparison between the Portable Prothrombin Time Self Monitor CoaguChek XS and a Standard Laboratory Method, Sysmex CA-1500 for Monitoring Anticoagulant Therapy of Outpatients.
Ja Won KIM ; Moo Hyun KIM ; Kyung Ho KIM ; Jin HAN ; Jeung Hoan PAIK ; Long Hao YU ; Tae Ho PARK ; Kwang Soo CHA ; Young Dae KIM ; Kyung Eun KIM ; Jin Yeong HAN
Korean Circulation Journal 2007;37(5):216-220
BACKGROUND AND OBJECTIVES: Patients on oral anticoagulation therapy (OAT) require regular monitoring of the prothrombin time (PT) and dosage adjustment to prevent thromboembolic diseases without the risk of hemorrhage. Portable self PT monitors have been recently developed because the standard PT measurements are complicated and take considerable time. This study compared the International normalized ratio (INR) results that were obtained with using the CoaguChek XS device (Roche Diagnostic, Mannheim, Germany) with those obtained using a standard laboratory method Sysmex CA-1500 (Sysmex Corporation, Kobe, Japan) in the patients on OAT and also a healthy control group. SUBJECTS AND METHODS: 100 outpatients on OAT and 20 healthy controls were enrolled on a volunteer basis after providing informed consent at the Dong-A University Hospital. The outpatients and the healthy control group provided us the INR measurements with using both the CoaguChek XS and the Sysmex CA-1500. RESULTS: The coefficients of variation for CoaguChek XS and Sysmex CA-1500 were less than 10%. The PT (INR) results of CoaguChek XS and Sysmex CA-1500 were 2.0+/-0.7 and 2.2+/-0.7, respectively (p<0.001). There was a good correlation between CoaguChek XS and Sysmex CA-1500 (r=0.974, p<0.001). On the regression analysis, the slope of the regression line was 0.9197 and the y-intercept was 0.0058. On the Bland-Altman analysis, the INR mean difference (bias) between the two methods (CoaguChek XS INR-Sysmex CA-1500 INR) was -0.2 and the limit of agreement was +0.168~-0.568. CONCLUSION: The measurement with using CoaguChek XS has high repeatability, rapid availability and good accuracy that are comparable to the standard laboratory method. Therefore, CoaguChek XS can be a valuable tool for the self-monitoring of patients on OAT.
Anticoagulants
;
Avena
;
Hemorrhage
;
Humans
;
Informed Consent
;
International Normalized Ratio
;
Outpatients*
;
Prothrombin Time*
;
Prothrombin*
;
Volunteers