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August 10, 2002Swiss Medical WeeklyOpen Access

Evaluation of a Platelet Function Analyser (PFA-100) in patients with a bleeding tendency

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Why the study?

Does the PFA-100 improve the detection of primary haemostasis abnormalities compared to bleeding time in patients with suspected bleeding disorders?

Population

113 subjects (70 healthy subjects and 43 patients with a suspected mild bleeding disorder)

Comparison

Platelet function testing using the PFA-100 device vs Bleeding time (BT) determination

Design

Cross-sectional

Discussion

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Implication

PFA-100 may improve ASA detection sensitivity over bleeding time; leaves open whether it should replace bleeding time in practice.

Structured PICO

Does the PFA-100 improve the detection of primary haemostasis abnormalities compared to bleeding time in patients with suspected bleeding disorders?

P
Population
113 subjects (70 healthy subjects and 43 patients with a suspected mild bleeding disorder)
I
Intervention
Platelet function testing using the PFA-100 device (measuring closure time with EPI and ADP)
C
Comparator
Bleeding time (BT) determination
O
Outcome
Diagnostic performance (sensitivity and specificity) for detecting von Willebrand disease and acetylsalicylic acid ingestionsurrogate

The PFA-100 is a simple, less invasive, and more sensitive in vitro alternative to bleeding time for evaluating primary hemostasis abnormalities such as ASA intake and von Willebrand disease.

Limitations

  • Special citrated whole blood has to be processed within 0.5 to 4 h after sampling
  • Duplicate measurements are necessary
  • Results differ between blood sampled in the morning or in the afternoon

Cite This Study

A 2002 study studied this question.

synapsesocial.com/papers/6a83faf6a3cef8348e997e7fhttps://doi.org/10.4414/smw.2002.10039

Topics

Dual antiplatelet therapy
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preliminary Data from a Field Trial of the PFA-100™ System1995 · 149 citations
  2. 2PFA-100™ System: A New Method for Assessment of Platelet Dysfunction1998 · 427 citations
  3. 3Description of an In Vitro Platelet Function Analyzer-PFA-100™1995 · 462 citations
  4. 4State-of-the-Art Review : The Effect of Antiplatelet Drugs, Heparin, and Preanalytical Variables on Platelet Function Detected by the Platelet Function Analyzer (PFA-100®)1999 · 81 citations
  5. 5Monitoring of Aspirin (ASA) Pharmacodynamics with the Platelet Function Analyzer PFA-100®2000 · 201 citations