Biological variation of thromboelastrography variables in 10 clinically healthy horses.
Abstract: To assess the utility of population-based reference intervals (PRIs) for interpreting thromboelastography (TEG) variables in horses using biological variation data. Methods: Prospective cohort biologic variation study conducted over a 5-week period. Methods: Veterinary teaching hospital and research facility. Methods: Ten clinically healthy horses randomly selected from a veterinary school research and teaching herd. Methods: Horse health was determined using physical examination, CBC, and biochemical and coagulation profiles prior to the start of the study. Subsequently, once weekly blood sampling for TEG testing was performed for 5 weeks. Results: The 4 TEG variables reaction time (R), clot formation time (K), angle, and maximum amplitude (MA) were measured, and coefficient of variation representing within- and between-horse biological variation (CVi and CVg , respectively) and coefficient of variation representing analytical variation (CVa ) were calculated using a nested ANOVA after removing outlier data. The CVi , CVg , and CVa for R were 26.8%, 5.2%, and 5.9%; for K were 31.0%, 0.0%, and 5.9%; for angle were 9.4%, 6.2%, and 21.7%; and for MA were 3.4%, 4.1%, and 4.4%, respectively. Index of individuality (IOI) was then calculated for each variable using the formula {( CVi² + CVa²/CVg²)}¹/². IOI for R was 5.3, for angle was 3.8, and for MA was 1.4; IOI was not assessed for K. Conclusions: PRIs are appropriate for TEG variables, R, angle, and MA when interpreting results from individual horses based on calculated IOI values equal to or greater than 1.4. PRIs are likely appropriate when interpreting K, but IOI could not be calculated for this variable.
©Veterinary Emergency and Critical Care Society 2015.
Publication Date: 2015-10-19 PubMed ID: 26479874DOI: 10.1111/vec.12410Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
- Bioinformatics
- Biotechnology
- Blood
- Blood Analysis
- Clinical Examination
- Clinical Pathology
- Clinical Study
- Coagulation
- Comparative Study
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Epidemiology
- Equine Diseases
- Equine Health
- Hemostasis
- Horses
- Veterinary Care
- Veterinary Medicine
- Veterinary Procedure
- Veterinary Research
Summary
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This research investigates the use of population-based reference intervals (PRIs) for evaluating thromboelastography (TEG) variables in horses, with data obtained from a biological variation study conducted over five weeks on ten healthy horses.
Methods
- The study was conducted at a veterinary teaching hospital and research facility. The subjects were ten clinically healthy horses randomly selected from a veterinary research and teaching herd.
- The health of the horses was first confirmed through physical examination, complete blood count (CBC), as well as biochemical and coagulation profiles.
- After confirming the horses’ state of health, weekly blood sampling for TEG testing was carried out for 5 weeks.
Results
- Four TEG variables including reaction time (R), clot formation time (K), angle, and maximum amplitude (MA) were measured.
- Coefficients of variation representing within-horse and between-horse biological variation (CVi and CVg respectively), as well as the coefficient of variation for analytical variation (CVa), were calculated using a nested ANOVA after removing any outlier data.
- Index of individuality (IOI) was also calculated for each variable using a formula that takes into account the respective CVi, CVa and CVg values.
- IOI was not assessed for K.
Conclusions
- The study concludes that PRIs are suitable for interpreting TEG variables, R, angle, and MA for individual horses, given the calculated IOI values equal to or above 1.4.
- Although the IOI for K was not calculated, the authors suggest that PRIs are likely suitable for its interpretation.
The research provides valuable information when using PRIs to interpret certain TEG variables in horses. It indicates that it’s possible to apply PRIs in interpreting TEG variables in individual horses, therefore facilitating better understanding of the coagulation process in these animals.
Cite This Article
APA
Scruggs JL, Flatland B, McCormick KA, Reed A.
(2015).
Biological variation of thromboelastrography variables in 10 clinically healthy horses.
J Vet Emerg Crit Care (San Antonio), 26(1), 80-84.
https://doi.org/10.1111/vec.12410 Publication
Researcher Affiliations
- Departments of Biomedical and Diagnostic Sciences, University of Tennessee, Knoxville, TN, 37996.
- Departments of Biomedical and Diagnostic Sciences, University of Tennessee, Knoxville, TN, 37996.
- Large Animal Clinical Sciences, University of Tennessee, Knoxville, TN, 37996.
- College of Veterinary Medicine and the Office of Information Technology, University of Tennessee, Knoxville, TN, 37996.
MeSH Terms
- Animals
- Blood Coagulation Tests / methods
- Blood Coagulation Tests / veterinary
- Blood Specimen Collection
- Horses / blood
- Prospective Studies
- Thrombelastography / veterinary
Citations
This article has been cited 3 times.- Honoré ML, Pihl TH, Nielsen LN. A pilot study evaluating the Calibrated Automated Thrombogram assay and application of plasma-thromboelastography for detection of hemostatic aberrations in horses with gastrointestinal disease. BMC Vet Res 2021 Nov 8;17(1):346.
- Stokol T, Serpa PBS, Brooks MB, Divers T, Ness S. Subcutaneous Administration of Low-Molecular-Weight Heparin to Horses Inhibits Ex Vivo Equine Herpesvirus Type 1-Induced Platelet Activation. Front Vet Sci 2018;5:106.
- Lovett AL, Gilliam LL, Sykes BW, McFarlane D. Thromboelastography in obese horses with insulin dysregulation compared to healthy controls. J Vet Intern Med 2022 May;36(3):1131-1138.
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