[Study of thrombin generation in healthy children].

Abstract:

:Exploring coagulation in newborns and children is a challenge due to the low levels of both procoagulant factors and inhibitors. Conventional coagulation tests might be inadequate to explore all of these changes. The aim of the study is to evaluate the thrombin generation assay, a global test to explore coagulation, in a pediatric population (n=586) compared to an adult population (n=166). The thrombin generation assays were performed using Calibrated Automated Thrombography with two different tissue factor concentrations (1 and 5 pM), with and without thrombomodulin (TM). In the absence of TM, the endogenous thrombin potential (ETP) is significantly lower in the pediatric population, reflecting the decrease in procoagulant factors. In the presence of TM, ETP values in pediatric subjects are within the reference range of adult values. The thrombin generation assay demonstrates that coagulation balance is maintained in the pediatric population.

journal_name

Ann Biol Clin (Paris)

authors

Talon L,Sapin AF,Fourneyron V,Senectaire S,Tardieu M,Tillier M,Trapani A,Trayaud A,Vaissade A,Lebreton A,Sinegre T

doi

10.1684/abc.2020.1607

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

629-638

issue

6

eissn

0003-3898

issn

1950-6112

pii

abc.2020.1607

journal_volume

78

pub_type

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