Evidence map›Paper›PMID 41476895›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Feasibility to infer accurate fibrinogen concentrations from thrombin generation, prothrombin time, or Reptilase time waveforms.

Ryanne A Arisz, Bart Bakker, René van den Ham, Aamer Ahmed, Jeroen C J Eikenboom, Saskia E M Schols, Moniek P M de Maat, SYMPHONY consortium@SYMPHONY_NL

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Article in Research and practice in thrombosis and haemostasis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ryanne A AriszDepartment of Hematology, Cardiovascular Institute, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Bart BakkerHEMEO B.V., Amsterdam, the Netherlands.
René van den HamHEMEO B.V., Amsterdam, the Netherlands.
Aamer AhmedHEMEO B.V., Amsterdam, the Netherlands.
Jeroen C J EikenboomDivision of Thrombosis and Hemostasis, Department of Internal Medicine, Leiden University Medical Center, Leiden, the Netherlands.
Saskia E M ScholsDepartment of Hematology, Radboud University Medical Center, Nijmegen, the Netherlands and Hemophilia Treatment Center Nijmegen-Eindhoven-Maastricht, Nijmegen, the Netherlands.
Moniek P M de MaatDepartment of Hematology, Cardiovascular Institute, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
SYMPHONY consortium@SYMPHONY_NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A rapid point-of-care test to measure fibrinogen levels is crucial to adequately treat major blood loss, eg, because of trauma, postpartum hemorrhage, or major surgery. Obtaining results from current fibrinogen assays is too time-consuming in emergency situations. We have developed mathematical methods to infer fibrinogen concentrations from the turbidity waveforms of the thrombin generation (TG), prothrombin time (PT), and Reptilase time (RT) assays. Objectives: The aim of this study was to verify the performance of these methods using assay waveforms from real-world patient samples. Methods: We measured TG, PT, and RT in 44 plasma samples with a wide range of fibrinogen levels (1.1-16.6 g/L), high D-dimer, prolonged PT, and/or containing anticoagulant medication. Results: Overall, data from the PT (R = 0.965) and RT (R = 0.985) assays could be used as data input to accurately infer fibrinogen levels for all patients. The TG assay (R = 0.917) was less robust and generated results for only 36 patients. Conclusion: Our mathematical methods proved to be able to accurately infer a wide range of fibrinogen levels in real-world patient samples, even in the presence of anticoagulant medication. With this study, we took the first step toward the development of a new, rapid point-of-care fibrinogen test.

Indexed as

fibrinogenfibrinogen assaysprothrombin timeReptilase timethrombin generation

Identifiers

PMID41476895
PMCPMC12753218

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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.