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Updated: Jun 21, 2026

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Leveraging Turbidity and Thromboelastography for Complementary Clot Characterization
Published on: June 4, 2020
Multicentric comparison of single portion reagents and liquid reagents for thromboelastometry
Niels Rahe-Meyer1, Cristina Solomon, Matthias Vorweg
1Department of Anesthesia, Hannover Medical School, 30625 Hannover, Germany.
Summary
New single portion reagents (SPR) for thromboelastometry ROTEM offer a simpler, more stable alternative to traditional liquid reagents. This innovation streamlines whole blood clotting assessments in clinical settings.
Area of Science:
- Hemostasis and Thrombosis
- Clinical Diagnostics
- Biochemistry
Background:
- Thromboelastometry ROTEM is a viscoelastic whole blood clotting assessment tool.
- Current liquid reagents require multiple pipetting steps, complicating clinical use.
- New single portion reagents (SPR) consolidate lyophilized reagents into one vial for simplified blood addition.
Purpose of the Study:
- To compare the performance and stability of new single portion reagents (SPR) against standard liquid reagents for ROTEM analysis.
- To evaluate the ease of use and correlation of SPR with conventional methods.
Main Methods:
- Comparison of SPR and liquid reagents across multiple ROTEM tests (EXTEM, INTEM, FIBTEM, APTEM, HEPTEM).
- Analysis of 21 normal and 46 patient blood samples across three study centers.
- Assessment of SPR stability at 37°C using 23 blood samples.
Main Results:
- Excellent correlation (0.85-0.99) found between SPR and liquid reagents for all clotting parameters.
- SPR demonstrated excellent stability under thermal stress.
- Measurements using SPR were significantly easier to perform than with liquid reagents.
Conclusions:
- Single portion reagents (SPR) provide a reliable and user-friendly alternative to liquid reagents for ROTEM analysis.
- SPR simplify the process of whole blood clotting assessment, enhancing clinical routine efficiency.
- The stability and ease of use of SPR support their adoption in hemostasis and hematology diagnostics.
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