A national field study of quality assessment of CoaguChek point-of-care testing prothrombin time monitors

被引:32
作者
Meijer, Piet [1 ]
Kluft, Cornelis [1 ]
Poller, Leon [1 ]
van der Meer, Felix J. M. [1 ]
Keown, Michelle [1 ]
Ibrahim, Saied [1 ]
van den Besselaar, Anton M. H. P. [1 ]
Tripodi, Armando [1 ]
Jespersen, Jorgen [1 ]
机构
[1] Univ Manchester, Fac Life Sci, EAA Cent Facil, Manchester M13 9PT, Lancs, England
关键词
quality assessment; CoaguChek monitors; prothrombin time; significant deviation;
D O I
10.1309/6Q8DY5J1THA8BQG3
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
A system for quality assessment (QA) of the CoaguChek (Roche Diagnostics, Mannheim, Germany) point-of-care testing prothrombin time monitor has been developed by the European Concerted Action on Anticoagulation. Hitherto there has not been an adequate rapid method for CoaguChek QA. Sets of 5 certified international normalized ratio (INR) plasma samples were tested on 539 CoaguChek monitors by experienced staff at 9 Netherlands Thrombosis Centers and results compared with certified INR. A 15% or more deviation has been classified as significant deviation. Overall mean and certified INR values were similar, but 20.3% of participants showed a 15% or more deviation from the certified INR on at least I of the 5 QA plasma samples. Statistically significant differences in results with different lots of CoaguChek test strips were found. There is need for large scale QA of CoaguChek monitors. The importance of the 5 CoaguChek certified INR QA plasma samples being tested on a single occasion is demonstrated.
引用
收藏
页码:756 / 761
页数:6
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