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| Name | Class |
|---|---|
| Heart and Diabetes Center North Rhine-Westphalia | OTHER |
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The investigators study aims to test the correlation between the Hemochron Signature point-of-care testing (POCT) device (ITC, USA) and low plasma levels of all three currently approved direct oral anticoagulants (DOAC; rivaroxaban, apixaban and dabigatran) and to determine the diagnostic accuracy of POCT to rule out or detect relevant levels of DOAC in real-life stroke patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rivaroxaban | N=20 | ||
| Apixaban | N=20 | ||
| Dabigatran | N=20 |
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| Measure | Description | Time Frame |
|---|---|---|
| Effect/Correlation of direct oral anticoagulants (DOAC) on Hemochron Signature point-of-care testing (POCT) result | DOAC concentrations determined by ultra-performance liquid chromatography-tandem mass spectrometry | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic accuracy of the Hemochron Signature POCT to rule out or detect relevant DOAC levels | 24h | |
| Effect/Correlation of DOAC on prothrombin time (PT), activated thromboplastin time (aPTT), anti-Xa activity and Hemoclot assay | 24h |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive stroke patients, who were newly started on oral anticoagulation with rivaroxaban, apixaban or dabigatran for secondary prevention of thromboembolic events.
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| Name | Affiliation | Role |
|---|---|---|
| Sven Poli, Dr. | University Hospital Tuebingen | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28775134 | Derived | Ebner M, Birschmann I, Peter A, Hartig F, Spencer C, Kuhn J, Blumenstock G, Zuern CS, Ziemann U, Poli S. Emergency Coagulation Assessment During Treatment With Direct Oral Anticoagulants: Limitations and Solutions. Stroke. 2017 Sep;48(9):2457-2463. doi: 10.1161/STROKEAHA.117.017981. Epub 2017 Aug 3. | |
| 28196509 | Derived |
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Whole blood samples and citrated plasma samples
| Ebner M, Birschmann I, Peter A, Spencer C, Hartig F, Kuhn J, Blumenstock G, Zuern CS, Ziemann U, Poli S. Point-of-care testing for emergency assessment of coagulation in patients treated with direct oral anticoagulants. Crit Care. 2017 Feb 15;21(1):32. doi: 10.1186/s13054-017-1619-z. |