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Coagulation testing: Comparison of portable (CoaguChek? XS) and automated coagulation analyzer in healthy cats

机译:凝血测试:便携式(Coaguchek'XS)和健康猫体自动凝血分析仪的比较

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Background and Aim: The CoaguChek ? XS (CCX) is a portable coagulation analyzer that is widely used to monitor prothrombin time (PT) in human patients taking oral anticoagulants. It can also be reliably used for screening dogs when PT is in the normal range. Efficacy of the portable CCX coagulation analyzer was evaluated for testing PT in healthy cats and the normal range was established. Materials and Methods: Blood samples of 82 cats were collected from the jugular vein and PT was measured using both the CCX and an automated coagulation analyzer (ACA). Spearman's correlation was used to measure the strength and direction of association between the two analyzers, while limits of agreement were assessed utilizing Bland-Altman analysis. Results: Range of PT using the CCX was 10.1-14.1 s. Correlation between the two analyzers was moderate but significant (r=0.3465, p=0.0014). Mean difference between CCX-PT and ACA-PT was 1.624 s and standard deviation was 0.890 with 95.1% of the samples falling within the limits of agreement. Conclusion: The CCX is a portable, easy to use coagulation analyzer that requires a small volume of blood and gives results within 1 min. Results showed moderate correlation and good agreement with a standard automated laboratory analyzer. The CCX can be used for screening coagulation testing when PT is in the normal range for cats. However, testing accuracy of the CCX in abnormal PT cats should be further investigated before diagnostic coagulopathy applications.
机译:背景和目的:coaguchek? XS(CCX)是一种便携式凝固分析仪,广泛用于监测服用口服抗凝血剂的人类患者的凝血酶原时间(PT)。当PT处于正常范围时,它也可以可靠地用于筛选狗。评估便携式CCX凝血分析仪的疗效,用于在健康的猫体中测试PT,建立正常范围。材料和方法:使用CCX和自动凝血分析仪(ACA)测量82个猫的血液样品。 Spearman的相关性用于测量两种分析仪之间关联的强度和方向,而使用Bland-Altman分析评估协议的限制。结果:使用CCX的PT范围为10.1-14.1秒。两种分析仪之间的相关性适中但显着(r = 0.3465,p = 0.0014)。 CCX-PT和ACA-PT之间的平均差异为1.624 s,标准偏差为0.890,其中95.1%的样品落在协议范围内。结论:CCX是一种便携式,易于使用的凝固分析仪,需要少量血液,并在1分钟内给出结果。结果表明,与标准自动化实验室分析仪进行了适度的相关性和良好的一致性。当PT在猫的正常范围内时,CCX可用于筛选凝固测试。然而,在诊断凝结病应用之前,应进一步研究异常PT猫中CCX的测试精度。

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