Point-of-care testing apparatus. Measurement of coagulation

Anaesthesia. 2001 Aug;56(8):760-3. doi: 10.1046/j.1365-2044.2001.02131.x.

Abstract

Point-of-care testing of coagulation parameters provides a more rapid assessment of test results compared with laboratory testing. A new coagulation monitor (GEM PCL, Instrumentation Laboratory, Kirchheim, Germany) was evaluated. Point-of-care data for activated partial thromboplastin time and prothrombin time (expressed as the international normalised ratio) and turn-around-time were compared. Coagulation parameters were compared in the blood of 57 patients with and without heparin therapy. The point-of-care and laboratory test results showed a bias (SD) of -0.26 (4.55) s for activated partial thromboplastin time and -0.011 (0.150) s for prothrombin time. The average turn-around-time was 3 min for point-of-care testing vs. 52 min for laboratory testing. We conclude that the reliability of point-of-care testing is sufficient for clinical use.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Blood Coagulation Disorders / blood
  • Blood Coagulation Disorders / diagnosis*
  • Hematology / instrumentation*
  • Heparin / metabolism
  • Humans
  • Partial Thromboplastin Time
  • Point-of-Care Systems / standards*
  • Prothrombin Time
  • Sensitivity and Specificity

Substances

  • Heparin