Anticoagulation, Atrial Fibrillation, Venous Thromboembolism
Conditions
Keywords
Anticoagulants (MeSH), Blood Coagulation Tests (MeSH), Drug monitoring (MeSH), Factor Xa Inhibitors (MeSH), Heparin (MeSH)
Brief summary
Despite their usefulness in perioperative and acute care settings, factor-Xa inhibitors-specific assays are scarcely available, contrary to heparin anti-Xa assay. The investigators aimed at assessing whether the widely used heparin anti-Xa assay can quantify the apixaban, rivaroxaban, fondaparinux and danaparoid levels.
Interventions
Estimated anticoagulant level (conversion factor x anti-Xa activity)
Sponsors
Study design
Eligibility
Inclusion criteria
: * Blood sample from adult patients treated with apixaban or rivaroxaban or danaparoid or fondaparinux
Exclusion criteria
: * Patients treated with unfractionated heparin or low molecular weight heparin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Agreement between measured and estimated levels of each factor-Xa inhibitor | 2 years | An estimated anticoagulant level between 80 and 120% of the value obtained by the reference method (specific assay) will be deemed clinically acceptable, i.e. the patient's management would have been the same. |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of the performance of the estimated anticoagulant level method by an inter-laboratory comparison program | 2 years |
| Cost comparison (estimated anticoagulant level method versus specific dosage) | 2 years |
Countries
France