Reference intervals of the dilute tissue thromboplastin inhibition and dilute Russell's viper venom tests revisited.
Reference intervals for two well-recognized tests for the lupus anticoagulant were determined using 98 healthy subjects. The purpose of the study was to compare the reference intervals for the dilute tissue thromboplastin inhibition test on this group of healthy subjects calculated by parametric and nonparametric statistical methods, and to compare these results with results obtained on subsets of 20 and 40 randomly selected individuals from the group of 98. The same procedures were followed for the dilute Russell's viper venom test. Results were recorded in seconds of clotting times and in ratios (subject/mean of that set or subset). Statistical analysis revealed Gaussian distribution of the results in the large group as well as in each subset for both tests. The results showed more variation between sets of the dilute tissue thromboplastin inhibition test than of the dilute Russell's viper venom test. Nonparametrically calculated reference intervals were wider than those determined by the parametric method, especially if confidence intervals are provided for both reference limits in a group of 94 controls or in a subset of 40 subjects. The nonparametric technique uses all data for the calculation of reference interval of such sample sizes no matter how widely spread the results are. There was no significant difference between the reference intervals of subsets and the whole group (p > 0.05) calculated by both statistical techniques. Very few outliers were observed among these subjects in both tests.
Loyola University Stritch School of Medicine, Maywood, IL, USA.
Rolandas
R
Gerbutavicius
Jawed
J
Fareed
Harry L
HL
Messmore
Omer
O
Iqbal
Debra A
DA
Hoppensteadt
William H
WH
Wehrmacher
Muzaffer
M
Demir
Peter
P
Piccolo
Sarfraz
S
Ahmad
Qing
Q
Ma
Rasa
R
Griniute
D001780:Blood Coagulation Tests / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D016682:Lupus Coagulation Inhibitor / Q000097:blood; D008297:Male; D015233:Models, Statistical; D016011:Normal Distribution; D011517:Prothrombin Time; D012016:Reference Values; D013925:Thromboplastin / Q000037:antagonists & inhibitors
D016682:Lupus Coagulation Inhibitor; D013925:Thromboplastin