Evidence map›Paper›PMID 32549773›Full record

ArticleJournal of medical biochemistry2020

Thrombin generation in different commercial sodium citrate blood tubes.

Salvagno Gian Luca, Davide Demonte, Matteo Gelati, Giovanni Poli, Emmanuel J Favaloro, Giuseppe Lippi

Open access · diamondAbstract read
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Article in Journal of medical biochemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 96% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Salvagno Gian LucaUniversity of Verona, Section of Clinical Biochemistry, Verona, Italy.
Davide DemonteUniversity of Verona, Section of Clinical Biochemistry, Verona, Italy.
Matteo GelatiUniversity of Verona, Section of Clinical Biochemistry, Verona, Italy.
Giovanni PoliUniversity of Verona, Section of Clinical Biochemistry, Verona, Italy.
Emmanuel J FavaloroNSW Health Pathology, Westmead Hospital, Institute of Clinical Pathology and Medical Research, Sydney Centres for Thrombosis and Haemostasis, Department of Haematology, Westmead, NSW, Australia.
Giuseppe LippiUniversity of Verona, Section of Clinical Biochemistry, Verona, Italy.
University of Verona · ITWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to verify whether blood drawn into six different commercial coagulation tubes generated comparable results of thrombin generation.

methodsBlood was sequentially collected from 20 healthy subjects into different brand and draw volume 3.2% sodium citrate tubes (4.3 mL Sarstedt, 3.0 mL Greiner, 2.7 mL Becton Dickinson, 2.0 mL Kima, 1.8 mL Sarstedt and 1.0 mL Greiner). Thrombin generation was measured in plasma with the fully-automated ST Genesia analyzer using the weakest trigger (STG-BleedScreen).

resultsDifferent values of lag time (LT), time to reach thrombin peak (TP), thrombin peak height (PH) and endogenous thrombin potential (ETP) were commonly found in different tubes. Thrombin generation was the lowest in 4.3 mL Sarstedt tubes and the highest in 1.0 mL Greiner tubes. Other tubes displayed intermediate values. In multiple comparisons, LT was significantly different in 6/15 cases (40%), whilst PH, TP and ETP were significantly different in 14/15 (93%), 13/15 (87%) and 13/15 (87%) cases. The mean percent bias of LT, PH, TP and ETP ranged between -6% and +1%, -27% and +116%, -22% and +8%, and between -18% and +65%. The intra-assay imprecision of LT, PH, TP and ETP was exceeded in 0/15 (0%), 13/15 (87%), 6/15 (40%) and 13/15 (87%) comparisons. The correlation of LT, PH, TP and ETP values in different tubes ranged between 0.718-0.971, 0.570-0.966, 0.725-0.977 and 0.101-0.904.

conclusionsBlood collection for thrombin generation assays requires local standardization using identical tubes for brand and draw volume, and reference ranges calculated according to type of tubes.

Indexed as

blood collectionblood tubespreanalytical variabilitythrombin generation

Identifiers

PMID32549773
PMCPMC7282229
OpenAlexW2932754810

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.