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January 1, 1998Thrombosis and Haemostasis

Early Identification and Prognostic Implications in Disseminated Intravascular Coagulation through Transmittance Waveform Analysis

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Key result

Bi-phasic transmittance waveform analysis identified disseminated intravascular coagulation with 97.6% sensitivity and 98% specificity, preceding abnormalities in standard laboratory tests.

Why the study?

Does transmittance waveform analysis accurately and early identify disseminated intravascular coagulation compared to standard laboratory tests?

Population

747 patients, including 41 with disseminated intravascular coagulation (DIC)

Comparison

Transmittance waveform analysis vs Standard laboratory tests for DIC

Design

Cohort

Authors

RKR. KazmiUniversity Hospital Southampton NHS Foundation TrustCTCheng‐Hock TohUniversity of Liverpool

Discussion

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Implication

May aid earlier DIC detection in observational cohorts; leaves open prospective outcome validation before practice change.

Study Design

Type

Observational (n=747)

Structured PICO

Does transmittance waveform analysis accurately and early identify disseminated intravascular coagulation compared to standard laboratory tests?

P
Population
747 patients evaluated prospectively to assess the utility of transmittance waveform analysis for the early diagnosis of DIC.
E
Exposure
Transmittance waveform analysis (bi-phasic change in the light transmittance waveform profile of the APTT assay)
C
Comparator
Standard laboratory tests for DIC
O
Outcome
Sensitivity and specificity of the bi-phasic waveform pattern for diagnosing DICsurrogate

Transmittance waveform analysis of the APTT assay provides a highly sensitive and specific early diagnostic marker for disseminated intravascular coagulation.

Cite This Study

Kazmi et al. (1998) conducted an observational in Disseminated intravascular coagulation (DIC) (n=747). Transmittance waveform analysis (bi-phasic waveform pattern) vs. Standard laboratory tests was evaluated on Diagnosis of DIC. Bi-phasic transmittance waveform analysis identified disseminated intravascular coagulation with 97.6% sensitivity and 98% specificity, preceding abnormalities in standard laboratory tests.

synapsesocial.com/papers/6a92a3f69da65ccb784a1472https://doi.org/10.1055/s-0037-1615140
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