[Comparison of point of care capillary international normalized ratio (INR) with INR measured in venous samples]

Rev Med Chil. 2019 Oct;147(10):1273-1282. doi: 10.4067/s0034-98872019001001273.
[Article in Spanish]

Abstract

Background: INR is used to monitor the treatment with vitamin K antagonists. A strategy to reduce waiting times for sampling is to measure INR in a capillary sample using a portable point of care (POC) type coagulometer.

Aim: To evaluate the correlation of CoaguChek Pro II™, Xprecia™ and microINR™ with venous INR measured at the clinical laboratory and their ease of use.

Materials and methods: Patients provided capillary and venous blood samples for parallel tests comparing Xprecia™ Stride with CoaguChek Pro II™ and with venous INR, microINR™ with CoaguChek Pro IITM and with venous INR. The devices' ease of use was assessed surveying the sampling staff.

Results: The three tested devices had good correlation coefficients with venous INR: CoaguChek Pro IITM 0.953 and 0.962; Xprecia™ of 0.912 and microINR™ of 0.932. The correlation coefficient of Xprecia™ with CoaguChek Pro IITM was 0.937 and microINR™ with CoaguChek Pro IITM was 0.976.

Conclusions: CoaguChek Pro IITM, Xprecia™ and microINR™ results had a good correlation coefficient with INR measured at the laboratory. Our results indicate that, in the hands of trained users, POC-type coagulometers are reliable and acceptable for routine use in anticoagulant treatment control.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Anticoagulants / therapeutic use
  • Capillaries
  • Chile
  • Drug Monitoring / instrumentation
  • Drug Monitoring / standards
  • Female
  • Humans
  • International Normalized Ratio / instrumentation*
  • International Normalized Ratio / standards
  • Male
  • Middle Aged
  • Point-of-Care Systems / standards*
  • Reference Standards
  • Reproducibility of Results
  • Thromboplastin / therapeutic use

Substances

  • Anticoagulants
  • Thromboplastin