Evidence map›Paper›PMID 41527585›Full record

ArticleHealth science reports2026

Automated Thromboelastometry for Semiquantitative Assessment of High Heparin Concentrations: A Feasibility Study in Healthy Volunteers.

Marika Pada, Janne Moilanen, Pasi Ohtonen, Timo Kaakinen, Janne Liisanantti, Eeva-Riitta Savolainen, Tiina Erkinaro

Abstract read
In one paragraph

Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

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

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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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Marika PadaTranslational Medicine Research Unit, Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland.ORCID https://orcid.org/0009-0004-6735-7749
Janne MoilanenTranslational Medicine Research Unit, Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland.
Pasi OhtonenTranslational Medicine Research Unit, Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland.
Timo KaakinenTranslational Medicine Research Unit, Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland.
Janne LiisananttiTranslational Medicine Research Unit, Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland.
Eeva-Riitta SavolainenNordlab Oulu Hematology Laboratory, Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland.
Tiina ErkinaroTranslational Medicine Research Unit, Medical Research Center Oulu Oulu University Hospital and University of Oulu Oulu Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: To date, thromboelastometry has not been investigated as an assay to monitor profound heparin anticoagulation, such as is required for a safe cardiopulmonary bypass (CPB). The aim of this study was to test the feasibility of automated thromboelastometry for semiquantitative assessment of increasing heparin concentrations. Methods: Blood samples were collected from 20 healthy adult volunteers that were recruited to participate in the study. The citrated blood tubes were spiked with unfractionated heparin to concentrations of 0, 1, 2, 3, 4, 5 and 6 IU/mL. From each concentration, point-of-care viscoelastic testing was performed using the HEPTEM, INTEM, EXTEM, and FIBTEM cartridges of the fully automated ROTEM Sigma device. Linear mixed model with regression analysis and receiver operating characteristics (ROC) curves were used to analyze the data. Results: HEPTEM coagulation time (CT) was linearly prolonged by 5 s (95% CI, 4-6 s, Conclusion: This study on automated thromboelastometry demonstrated a dose-dependent prolongation of HEPTEM CT when heparin concentration increased from 0 to 6 IU/mL. Furthermore, ROC analysis on the ability of HEPTEM CT to detect heparin concentrations of ≥ 4 IU/mL indicated possible diagnostic potential. These novel findings suggest that HEPTEM CT is a feasible ROTEM Sigma parameter for semiquantitative assessment of heparin concentrations required for safe CPB. However, this remains to be verified in future clinical studies.

Identifiers

PMID41527585
PMCPMC12790654

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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.