Key result
The bleeding time test has poor sensitivity and reproducibility for detecting platelet function abnormalities and is not suitable as a screening test or for predicting surgical bleeding.
Why the study?
Although guidelines recommend discontinuing bleeding time due to invasiveness, poor reproducibility, and sensitivity issues, some laboratories still perform it.
The bleeding time test is obsolete and should be retired, while alternative tests like PFA-100/200 offer practical screening but still have limitations in diagnostic sensitivity and specificity.
Supports guideline recommendations against bleeding time testing; leaves open why some labs continue its use.
not require a skilled technician or expensive equipment [3]. However, it is an invasive test, and its reproducibility and the sensitivity to mild platelet function disorders is poor [3]. In addition, many preanalytical and analytical factors can affect the BT results [1, 4]. Consequently, most guidelines recommended discontinuation of BT, and the use of BT has rapidly declined and been replaced by other less invasive ex vivo platelet function assay [2, 5-8]. However, some laboratories still use the BT tests due to the clinical eld requirements [2]. In this article, the usefulness of the BT test for the evaluation of platelet function disorders and preoperative bleeding risk, and the characteristics and clinical utility of other platelet function tests that can be utilized for screening of platelet function defects will be brie y reviewed, and an ef cient way to use these tests will be suggested.
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Bohyun Kim (2022) conducted a review in Platelet function disorders and preoperative bleeding risk. Bleeding time test was evaluated. The bleeding time test has poor sensitivity and reproducibility for detecting platelet function abnormalities and is not suitable as a screening test or for predicting surgical bleeding.
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