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Updated: Jun 21, 2026

The Nijmegen Hemostasis Assay: Simultaneous Fluorogenic Measurement of Thrombin and Plasmin Generation in a Single Well
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Prothrombin time and partial thromboplastin time assay considerations.

Valerie L Ng1

  • 1Department of Laboratory Medicine, School of Medicine, University of California San Francisco, San Francisco, CA, USA. vang@acmedctr.org

Clinics in Laboratory Medicine
|August 12, 2009
PubMed
Summary
This summary is machine-generated.

Understanding laboratory coagulation testing is crucial for interpreting study results. This review covers factors affecting prothrombin time (PT) and activated partial thromboplastin time (aPTT) for accurate clinical application.

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Area of Science:

  • Clinical Biochemistry
  • Hematology
  • Laboratory Medicine

Background:

  • Prothrombin time (PT) and activated partial thromboplastin time (aPTT) are established global assays for assessing hemostasis.
  • Accurate interpretation of coagulation studies is vital for clinical decision-making.
  • Numerous pre-analytical and analytical variables can impact PT and aPTT results.

Purpose of the Study:

  • To review critical laboratory issues and variables influencing PT and aPTT.
  • To enhance the reader's awareness of potential confounders in coagulation testing.
  • To provide a foundation for critically evaluating research relying on these hemostatic assays.

Main Methods:

  • Literature review of factors affecting coagulation assays.
  • Analysis of known variables impacting PT and aPTT.
  • Discussion of the International Normalized Ratio (INR) calculation.

Main Results:

  • Identified key laboratory variables that influence PT and aPTT.
  • Highlighted the importance of standardized testing procedures.
  • Emphasized the impact of these variables on the reliability of published data.

Conclusions:

  • Awareness of laboratory variables is essential for accurate interpretation of PT and aPTT.
  • Critical evaluation of published studies requires understanding potential testing interferences.
  • Standardization and careful consideration of influencing factors improve the clinical utility of coagulation tests.