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Study on a new chromogenic substrate for the prothrombin time determination.

A Girolami1, A Santarossa, S Martinelli

  • 1Institute of Medical Semeiotics, Medical School, University of Padua, Italy.

Folia Haematologica (Leipzig, Germany : 1928)
|January 1, 1987
PubMed
Summary

This study shows that chromogenic substrates can be reliably used for prothrombin time determination, correlating well with standard methods. While generally accurate, some prothrombin complex defect heterozygotes may require further investigation.

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Area of Science:

  • Clinical Chemistry
  • Hematology
  • Biochemistry

Background:

  • Prothrombin time (PT) is a critical measure of the extrinsic pathway of coagulation.
  • Traditional PT assays rely on visual clot detection, limiting automation and standardization.
  • Chromogenic substrates offer a spectrophotometric alternative for enzyme activity measurement.

Purpose of the Study:

  • To evaluate the utility of a chromogenic substrate assay (Chromoquick) for prothrombin time determination.
  • To compare the performance of the chromogenic assay against standard PT methods using different thromboplastins.

Main Methods:

  • Investigated normal subjects and various patient groups including liver disease, anticoagulant/heparin therapy, and prothrombin complex defects.
  • Assayed prothrombin time using the chromogenic reagent (Chromoquick) and two standard methods (Thromborel, Simplastin).

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  • Correlated results between the chromogenic and standard prothrombin time assays.
  • Main Results:

    • Established normal ranges: 18-23 s for Chromoquick and 13.5-15.5 s for standard methods.
    • Demonstrated significant positive correlations (r = +0.505 to +0.947, p < 0.05 to < 0.001) between chromogenic and standard PT.
    • Observed that some heterozygotes for prothrombin complex defects were not unequivocally detected by the chromogenic assay.

    Conclusions:

    • Chromogenic substrate assays are a viable option for prothrombin time determination in laboratory practice.
    • The method offers potential advantages in standardization and automation.
    • Cost and potential limitations in detecting certain heterozygote factor deficiencies are considerations.