Capillary whole blood testing by a new portable monitor. Comparison with standard determination of the international normalized ratio.
We evaluated a new portable monitor (AvoSure PT PRO, Menarini Diagnostics, Firenze, Italy) developed to test the prothrombin time in capillary blood and plasma by comparing it with the standard laboratory determination. We studied 62 patients receiving acenocoumarol therapy. The international normalized ratio (INR) in capillary blood was analyzed by 2 methods: AvoSure PT PRO and Thrombotrack Nycomed Analyzer (Axis-Shield, Dundee, Scotland). Parallel studies were performed in plasma samples by a reference method using the Behring Coagulation Timer (Behring Diagnostics, Marburg, Germany). Plasma samples also were tested with the AvoSure PT PRO. Correlation was good for INR values for capillary blood and plasma samples by AvoSure PT PRO and our reference method (R2 = 0.8596) and for capillary blood samples tested by the AvoSure PT PRO and Thrombotrack Nycomed Analyzer (R2 = 0.8875). The correlation for INR in capillary blood and plasma samples by AvoSure PT PRO was 0.6939 (P < .0004). Capillary blood determinations are rapid and effective for monitoring oral anticoagulation therapy and have a high correlation to plasma determinations. AvoSure PT PRO is accurate for controlling INR in plasma and capillary blood samples, may be used in outpatient clinics, and has advantages over previous portable monitors.
de Miguel
Dunia
D
Service of Hematology, Asturias University Hospital, Madrid, Spain.
Burgaleta
Carmen
C
Reyes
Eduardo
E
Pascual
Teresa
T
D000074:Acenocoumarol / Q000097:blood / Q000494:pharmacology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000097:blood / Q000494:pharmacology; D001777:Blood Coagulation / Q000187:drug effects; D002196:Capillaries; D016903:Drug Monitoring / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D019934:International Normalized Ratio; D007753:Laboratories / Q000592:standards; D008297:Male; D008875:Middle Aged; D018670:Monitoring, Ambulatory / Q000295:instrumentation* / Q000379:methods; D010949:Plasma / Q000737:chemistry; D011517:Prothrombin Time; D015203:Reproducibility of Results
D000925:Anticoagulants; D000074:Acenocoumarol