Department of Clinical Chemistry, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.
Department of Laboratory Diagnostics, University Hospital Centre Zagreb, Zagreb, Croatia.
Biochem Med (Zagreb). 2019 Jun 15;29(2):020503. doi: 10.11613/BM.2019.020503.
A modern diagnostic laboratory offers wide spectrum of coagulation assays utilized in the diagnosis and management of patients with haemostatic disorders, preoperative screening and anticoagulation therapy monitoring. The recent survey conducted among Croatian medical biochemistry and transfusion laboratories showed the existence of different practice policies in particular phases of laboratory process during coagulation testing and highlighted areas that need improvement. Lack of assay standardization together with non-harmonized test results between different measurement methods, can potentially lead to incorrect decisions in patient's treatment. Consequently, patient safety could be compromised. Therefore, recommended procedures related to preanalytical, analytical and postanalytical phases of prothrombin time, activated partial thromboplastin time, thrombin time, fibrinogen and D-dimer testing are provided in this review, aiming to help laboratories to generate accurate and reliable test results.
现代化的诊断实验室提供广泛的凝血检测,用于诊断和管理止血障碍患者、术前筛查和抗凝治疗监测。最近在克罗地亚医学生物化学和输血实验室进行的一项调查显示,在凝血检测的实验室过程的特定阶段存在不同的实践政策,并强调了需要改进的领域。缺乏检测标准化以及不同测量方法之间的测试结果不统一,可能导致患者治疗决策的错误。因此,患者安全可能受到影响。因此,本综述提供了与凝血酶原时间、活化部分凝血活酶时间、凝血酶时间、纤维蛋白原和 D-二聚体检测的分析前、分析中和分析后阶段相关的推荐程序,旨在帮助实验室生成准确可靠的检测结果。