Accuracy of rapid blood coagulation testing device FibCare® in a tertiary emergency department

Aim FibCare® is a novel point‐of‐care testing device enabling prompt evaluation of fibrinogen levels. This study aimed to investigate the accuracy of FibCare® at a tertiary emergency department. Methods Blood specimens obtained at a tertiary emergency medical center between October 1, 2021, and Apri...

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Published in:Acute medicine & surgery 2024-01, Vol.11 (1), p.e934-n/a
Main Authors: Mihara, Yutaka, Komoriya, Kenta, Hagiwara, Kei, Hatanaka, Yasuhito, Shibahashi, Keita, Hikone, Mayu, Sugiyama, Kazuhiro
Format: Article
Language:English
Subjects:
Accuracy
blood coagulation
diagnosis
Emergency medical care
emergency room
fibrinogen
Hemorrhage
Molecular weight
Original
Patients
Plasma
Postpartum period
trauma
Viscoelasticity
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container_title Acute medicine & surgery
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creator Mihara, Yutaka
Komoriya, Kenta
Hagiwara, Kei
Hatanaka, Yasuhito
Shibahashi, Keita
Hikone, Mayu
Sugiyama, Kazuhiro
description Aim FibCare® is a novel point‐of‐care testing device enabling prompt evaluation of fibrinogen levels. This study aimed to investigate the accuracy of FibCare® at a tertiary emergency department. Methods Blood specimens obtained at a tertiary emergency medical center between October 1, 2021, and April 30, 2023, were evaluated. The correlation between the fibrinogen levels assessed via FibCare® and those via the Clauss method was evaluated using the Spearman's test. The discrepancy between the two measurement methods was assessed according to fibrinogen level and diagnosis. Results A total of 177 specimens from 147 patients were eligible for the analysis. The median age of the patients was 49 years, and 109 (61.6%) were men. The two measurements had statistically significant but moderate correlation (p 
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This study aimed to investigate the accuracy of FibCare® at a tertiary emergency department. Methods Blood specimens obtained at a tertiary emergency medical center between October 1, 2021, and April 30, 2023, were evaluated. The correlation between the fibrinogen levels assessed via FibCare® and those via the Clauss method was evaluated using the Spearman's test. The discrepancy between the two measurement methods was assessed according to fibrinogen level and diagnosis. Results A total of 177 specimens from 147 patients were eligible for the analysis. The median age of the patients was 49 years, and 109 (61.6%) were men. The two measurements had statistically significant but moderate correlation (p &lt; 0.001, ρ = 0.76). FibCare® missed 14 out of 35 cases from patients with hypofibrinogenemia (fibrinogen ≤150 mg/dL assessed by the Clauss method). The discrepancy between the two measurements was significantly greater in specimens with lower fibrinogen levels and those obtained from patients following trauma. Conclusions FibCare®, a novel point‐of‐care testing device, can be compatible with the Clauss method. However, clinicians should be aware of the risk that FibCare® may underestimate fibrinogen reduction, especially in severe cases and trauma cases. FibCare®, a novel point‐of‐care testing devise, can be compatible with the Clauss method. However, clinicians should be aware of the risk that FibCare® may underestimate fibrinogen reduction, especially in severe cases and trauma cases.</description><identifier>ISSN: 2052-8817</identifier><identifier>EISSN: 2052-8817</identifier><identifier>DOI: 10.1002/ams2.934</identifier><identifier>PMID: 38450033</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Accuracy ; blood coagulation ; diagnosis ; Emergency medical care ; emergency room ; fibrinogen ; Hemorrhage ; Molecular weight ; Original ; Patients ; Plasma ; Postpartum period ; trauma ; Viscoelasticity</subject><ispartof>Acute medicine &amp; surgery, 2024-01, Vol.11 (1), p.e934-n/a</ispartof><rights>2024 The Authors. published by John Wiley &amp; Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.</rights><rights>2024 The Authors. Acute Medicine &amp; Surgery published by John Wiley &amp; Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.</rights><rights>2024. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3964-d26fa15d972738e3e0064f5c07188ea3f41fd62286f4384d5bab328eb76ec0b53</cites><orcidid>0009-0007-1004-9659 ; 0000-0001-5651-1449 ; 0000-0003-4104-386X ; 0009-0009-9980-1185</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3150086566/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3150086566?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,11541,25731,27901,27902,36989,36990,44566,46027,46451,53766,53768,75096</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38450033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mihara, Yutaka</creatorcontrib><creatorcontrib>Komoriya, Kenta</creatorcontrib><creatorcontrib>Hagiwara, Kei</creatorcontrib><creatorcontrib>Hatanaka, Yasuhito</creatorcontrib><creatorcontrib>Shibahashi, Keita</creatorcontrib><creatorcontrib>Hikone, Mayu</creatorcontrib><creatorcontrib>Sugiyama, Kazuhiro</creatorcontrib><title>Accuracy of rapid blood coagulation testing device FibCare® in a tertiary emergency department</title><title>Acute medicine &amp; surgery</title><addtitle>Acute Med Surg</addtitle><description>Aim FibCare® is a novel point‐of‐care testing device enabling prompt evaluation of fibrinogen levels. This study aimed to investigate the accuracy of FibCare® at a tertiary emergency department. Methods Blood specimens obtained at a tertiary emergency medical center between October 1, 2021, and April 30, 2023, were evaluated. The correlation between the fibrinogen levels assessed via FibCare® and those via the Clauss method was evaluated using the Spearman's test. The discrepancy between the two measurement methods was assessed according to fibrinogen level and diagnosis. Results A total of 177 specimens from 147 patients were eligible for the analysis. The median age of the patients was 49 years, and 109 (61.6%) were men. The two measurements had statistically significant but moderate correlation (p &lt; 0.001, ρ = 0.76). FibCare® missed 14 out of 35 cases from patients with hypofibrinogenemia (fibrinogen ≤150 mg/dL assessed by the Clauss method). The discrepancy between the two measurements was significantly greater in specimens with lower fibrinogen levels and those obtained from patients following trauma. Conclusions FibCare®, a novel point‐of‐care testing device, can be compatible with the Clauss method. However, clinicians should be aware of the risk that FibCare® may underestimate fibrinogen reduction, especially in severe cases and trauma cases. FibCare®, a novel point‐of‐care testing devise, can be compatible with the Clauss method. However, clinicians should be aware of the risk that FibCare® may underestimate fibrinogen reduction, especially in severe cases and trauma cases.</description><subject>Accuracy</subject><subject>blood coagulation</subject><subject>diagnosis</subject><subject>Emergency medical care</subject><subject>emergency room</subject><subject>fibrinogen</subject><subject>Hemorrhage</subject><subject>Molecular weight</subject><subject>Original</subject><subject>Patients</subject><subject>Plasma</subject><subject>Postpartum period</subject><subject>trauma</subject><subject>Viscoelasticity</subject><issn>2052-8817</issn><issn>2052-8817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1ks1u1DAQxyMEolWpxBMgS1y4pIw_4jgntFpRqFTEAThb_hgvXiXx4iRF-1I8BE-Gly2lReJky_PTT3_PTFU9p3BBAdhrM0zsouPiUXXKoGG1UrR9fO9-Up1P0xYAKAUuJX1anXAlGgDOTyu9cm7Jxu1JCiSbXfTE9il54pLZLL2ZYxrJjNMcxw3xeBMdksto1ybjzx8kjsSUap6jyXuCA-YNjsXlcWfyPOA4P6ueBNNPeH57nlVfLt9-Xr-vrz--u1qvrmvHOylqz2QwtPFdy1qukCOAFKFx0FKl0PAgaPCSMSWDKOF9Y43lTKFtJTqwDT-rro5en8xW73IcSiKdTNS_H1Le6JIouh61YyIEaJF3IgiLaC1I04IR3qAXKIrrzdG1W-yA3pVvZNM_kD6sjPGr3qQbTaGjUra8GF7dGnL6tpTu6SFODvvejJiWSbNOMKq6RkJBX_6DbtOSx9IrzWkZkpKNlH-FLqdpyhju0lDQhy3Qhy3QZQsK-uJ--jvwz8wLUB-B77HH_X9FevXhEzsIfwE88rys</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Mihara, Yutaka</creator><creator>Komoriya, Kenta</creator><creator>Hagiwara, Kei</creator><creator>Hatanaka, Yasuhito</creator><creator>Shibahashi, Keita</creator><creator>Hikone, Mayu</creator><creator>Sugiyama, Kazuhiro</creator><general>John Wiley &amp; 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surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mihara, Yutaka</au><au>Komoriya, Kenta</au><au>Hagiwara, Kei</au><au>Hatanaka, Yasuhito</au><au>Shibahashi, Keita</au><au>Hikone, Mayu</au><au>Sugiyama, Kazuhiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of rapid blood coagulation testing device FibCare® in a tertiary emergency department</atitle><jtitle>Acute medicine &amp; surgery</jtitle><addtitle>Acute Med Surg</addtitle><date>2024-01</date><risdate>2024</risdate><volume>11</volume><issue>1</issue><spage>e934</spage><epage>n/a</epage><pages>e934-n/a</pages><issn>2052-8817</issn><eissn>2052-8817</eissn><abstract>Aim FibCare® is a novel point‐of‐care testing device enabling prompt evaluation of fibrinogen levels. This study aimed to investigate the accuracy of FibCare® at a tertiary emergency department. Methods Blood specimens obtained at a tertiary emergency medical center between October 1, 2021, and April 30, 2023, were evaluated. The correlation between the fibrinogen levels assessed via FibCare® and those via the Clauss method was evaluated using the Spearman's test. The discrepancy between the two measurement methods was assessed according to fibrinogen level and diagnosis. Results A total of 177 specimens from 147 patients were eligible for the analysis. The median age of the patients was 49 years, and 109 (61.6%) were men. The two measurements had statistically significant but moderate correlation (p &lt; 0.001, ρ = 0.76). FibCare® missed 14 out of 35 cases from patients with hypofibrinogenemia (fibrinogen ≤150 mg/dL assessed by the Clauss method). The discrepancy between the two measurements was significantly greater in specimens with lower fibrinogen levels and those obtained from patients following trauma. Conclusions FibCare®, a novel point‐of‐care testing device, can be compatible with the Clauss method. However, clinicians should be aware of the risk that FibCare® may underestimate fibrinogen reduction, especially in severe cases and trauma cases. FibCare®, a novel point‐of‐care testing devise, can be compatible with the Clauss method. 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subjects Accuracy
blood coagulation
diagnosis
Emergency medical care
emergency room
fibrinogen
Hemorrhage
Molecular weight
Original
Patients
Plasma
Postpartum period
trauma
Viscoelasticity
title Accuracy of rapid blood coagulation testing device FibCare® in a tertiary emergency department
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