AI Article Synopsis

  • The STA R Max3 and Cobas t511 are automated hemostasis analysers used for various coagulation tests, using mechanical and optical detection methods respectively.
  • In tests on fresh plasma samples without interference, both analysers showed good agreement for PT, APTT, fibrinogen, and factor II, while factor V and D-dimers had lower agreement but no clinical consequences.
  • For hemolysed samples, the analysers yielded acceptable results for PT, fibrinogen, and D-dimers, but displayed discordance for APTT; the STA R Max3 performed better with highly lipemic samples.

Article Abstract

The STA R Max3 (Stago, France) and Cobas t511 (Roche Diagnostics, Germany) are two automated hemostasis analysers that can be used to perform a wide range of tests. The STA R Max3 uses a mechanical clot detection system to measure coagulation times, while the Cobas t511 uses optical detection. The aim of this study was to compare the analytical performance of these two analysers using fresh plasma samples with or without a risk of interference due to hemolysis or lipemia. For plasma samples without interference, acceptable agreement was observed for prothrombin time (PT) (n = 55), activated partial thromboplastin time (APTT) (n = 56), fibrinogen (n = 56) and factor II (n = 43) with R² of 0.907, 0.963, 0.979 and 0.968 respectively. For factor V (n = 43) and D-dimers (n = 45), agreement was less acceptable, with respective R² of 0.756 and 0.887, but with no clinical impact. For hemolysed samples, acceptable results were observed for PT, fibrinogen and D-dimers, but three results were clinically discordant for APTT, and STA R Max3 offered greater robustness for processing highly lipemic samples.

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Source
http://dx.doi.org/10.1684/abc.2024.1904DOI Listing

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