2023, Cilt 21, Sayı 1, Sayfa(lar) 047-053 |
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Diurnal Variation of Activated Partial Thromboplastin Time, Prothrombin Time and Fibrinogen |
Tuna Semerci1, Alperen İhtiyar2, Fatma Demet Arslan3, Mehmet Hicri Köseoğlu3 |
1İzmir Bornova Türkan Özilhan Devlet Hastanesi, Tıbbi Biyokimya, İZMİR, Türkiye 2Samsun Bafra Devlet Hastanesi, Tıbbi Biyokimya, SAMSUN, Türkiye 3İzmir Bakırçay Üniversitesi, Tıbbi Biyokimya Anabilim Dalı, İZMİR, Türkiye |
Keywords: APTT, PT, Fibrinogen, Diurnal Variation |
Aim: In this study, it was aimed to examine the changes of activated partial thromboplastin time (APTT), prothrombin time (PT), and plasma fibrinogen during the day, which are the most used coagulation tests in daily routine.
Material and Methods: Blood was drawn from the volunteers included in the study at 9.00, 12.00, 15.00, 18.00, and 24.00 hours. For the analysis of PT, APTT, and fibrinogen parameters, an optical method was used with original kits on ACL Top 500 device (Instrumentation Laboratory, Bedford, MA, USA). Samples taken at 09:00 were considered basal. Diurnal variation was investigated by comparing the APTT, PT, and fibrinogen results obtained at different times of the day with the basal results obtained at 09:00, statistically and clinically.
Results: A total of 15 (10 men, 5 women) healthy volunteers aged between 18-50 years were
included in our study. In our study, no clinically or statistically significant difference was found in PT values compared to the basal level (p<0.0125). When compared with the baseline value, both APTT and fibrinogen were the highest at 09.00, and all the results during the day were clinically significantly lower than the baseline level (APTT at 12.00 maximum -13.36%, Fibrinogen at 24.00 maximum - 9.81%). When compared with the basal value, APTT, and fibrinogen levels were found to be statistically significantly lower at some hours compared to baseline (p<0.0125).
Conclusion: PT did not change during the day. Differences in APTT and fibrinogen values were detected during the day, and it is recommended to consider sampling times in clinical evaluation.
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