Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/63176
Tipo: Artigo de Periódico
Título: Performance and reference intervals of thrombin generation test: results from the brazilian longitudinal study of adult health (elsa-brasil). a cross-sectional study
Autor(es): Danyelle Romana Alvesrios
Sandhi Maria Barreto
Letícia Gonçalves Resende Ferreira
Thaís Resende Batista
Ana Paula Ferreira Silva
Wander Valadares de Oliveira Júnior
Chams Bicalho Maluf
Maria Das Gracas Carvalho
Roberta Carvalho Figueiredo
Resumen: BACKGROUND: The thrombin generation test (TGT) has shown promise for investigation of hemorrhag ic and thrombotic diseases. However, despite its potential, it still needs standardization. Moreover, few studies have established reference values for TGT parameters. In Brazil, these values have not yet been established. OBJECTIVE: To determine TGT performance and reference intervals for TGT parameters in healthy individuals. DESIGN AND SETTING: Cross-sectional study conducted among participants in the Brazilian Longitudinal Study of Adult Health (Estudo Longitudinal de Saúde do Adulto, ELSA-Brasil).METHODS: The reference sample consisted of 620 healthy individuals. The calibrated automated throm bogram (CAT) method, under low and high tissue factor (TF) conditions, was used to assess thrombin generation. Test performance was analyzed using intra and interassay coefficients of variation (CV) and reference intervals were calculated using the nonparametric method proposed by the International Fed eration of Clinical Chemistry and the Clinical and Laboratory Standards Institute. RESULTS: The intraassay CV ranged from 1.4% to 2.2% and the interassay CV, 6.8% to 14.7%. The reference intervals for TGT parameters under low and high TF conditions were, respectively: lagtime: 3.0-10.3 and 1.4-3.7 min; endogenous thrombin potential (ETP): 1134.6-2517.9 and 1413.6-2658.0 nM.min; normalized ETP: 0.6-1.3 and 0.7-1.4; peak: 103.2-397.7 and 256.4-479.0 nM; normalized peak: 0.3-1.3 and 0.7-1.2; and time-to-peak: 5.6-16.0 and 3.4-6.7 min. These parameters were categorized relative to sex. CONCLUSION: TGT performance was adequate and the proposed reference intervals were similar to those of other studies. Our findings may be useful for consolidating the TGT, through contributing to its standardization and validation.
Asunto: Clinical Laboratory Techniques
Thrombin
Reference Values
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Institución: UFMG
Departamento: FAR - DEPARTAMENTO DE ANÁLISES CLÍNICAS E TOXICOLÓGICAS
MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
MED - DEPARTAMENTO DE PROPEDÊUTICA COMPLEMENTAR
Tipo de acceso: Acesso Aberto
Identificador DOI: 10.1590/1516-3180.2021.0425.r1.07102021
URI: http://hdl.handle.net/1843/63176
Fecha del documento: 2022
metadata.dc.url.externa: https://doi.org/10.1590/1516-3180.2021.0425.R1.07102021
metadata.dc.relation.ispartof: Sao Paulo Medical Journal
Aparece en las colecciones:Artigo de Periódico

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