D68.35
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Certain or probable intake of a factor Xa antagonist within the last 24 hours - Referral to the 24/7 anticoagulation service by the doctor on duty, in accordance with internal SOPs
Exclusion criteria
Exclusion criteria: Patients with known hereditary coagulation disorders (von Willebrand syndrome, haemophilia A, B or C, factor VII deficiency, hereditary thrombocytopathies)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation of the measured clotting time (CT) in ClotPro, ROTEM and GEM Hemochron with the calibrated anti-Xa measurement at 15 minutes, 2 hours, 6 hours and 24 hours after administration of andexanet alfa or PPSB. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Comparison of baseline sample results: POC-VET vs. dXI plasma levels (local, through calibrated anti-Xa measurement) vs. dXI plasma levels (reference laboratory University Hospital Aachen, calibrated dXI ELISA) vs. thrombin function parameters. - Comparison of the results of samples after antagonisation: POC-VET vs. dXI plasma level (UKD, by calibrated anti-Xa measurement) vs. dXI plasma level (reference laboratory University Hospital Aachen, calibrated dXI ELISA) vs. parameters of thrombin function. - The time until receipt of the test result is determined as a surrogate for the time from arrival to antagonisation (door-to-reversal time) and compared between POC-VET and dXI plasma levels (UKD central laboratory). - Costs for POC VET and calibrated dXI plasma levels are determined as an average per patientand compared. | — |
Countries
Germany
Contacts
Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Carl Gustav Carus an der TU Dresden