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Journal of veterinary internal medicine2008; 22(1); 238-241; doi: 10.1111/j.1939-1676.2007.0019.x

Poor reproducibility of template bleeding time in horses.

Abstract: Template bleeding time (TBT) is considered to be a useful test for detecting platelet function disorders and the effect of platelet-activating drugs, but studies in human medicine have concluded that the test has poor reproducibility and sensitivity. Objective: TBT has poor reproducibility in horses and has insufficient sensitivity to detect the effect of etamsylate on platelet function. Methods: Twenty healthy horses. Methods: TBT was determined and repeated 2 hours and 30 days later. TBT was also performed 2 hours after IV administration of etamsylate. Results: Although no statistical differences were seen between the TBT values obtained at different times, the coefficients of variation for TBT replicates ranged from 26.8% to 45.5%. The reference range for TBT was 138.4-860.4 seconds. No statistically significant shortening of the mean TBT value was observed after etamsylate administration. Conclusions: TBT has poor reproducibility, and the reference range is too wide to make TBT useful in a clinical setting. Other tests with higher reproducibility should be considered when assessing platelet function disorders in horses.
Publication Date: 2008-02-22 PubMed ID: 18289318DOI: 10.1111/j.1939-1676.2007.0019.xGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research study evaluates the ineffectiveness of the Template Bleeding Time (TBT) test, a method to assess platelet function disorders in horses, due to its poor reproducibility and inability to detect effects of certain drugs on platelet function.

Research Objective

In the study, the researchers purposed to test the reproducibility and sensitivity of TBT on horses. They especially wanted to assess if TBT effectively ascertains the impact of a drug called etamsylate on platelet functionality.

Methodology

  • The study was performed on twenty healthy horses.
  • Researchers carried out the TBT test and repeated it twice, once after 2 hours and again 30 days later. They also executed the TBT test 2 hours after administering etamsylate intravenously to the horses.

Results

  • When looking at TBT values obtained at different times, the team saw no significant differences. However, the variation rates for the TBT repeats were quite wide, ranging from 26.8% to 45.5%, indicating poor reproducibility.
  • The determined reference range for TBT in horses was between 138.4 to 860.4 seconds, which is a wide range that undermines the test’s precision and value in a clinical setting.
  • The researchers did not observe any statistically significant shortening in the average TBT value post-etamsylate administration. This indicates that TBT may not effectively measure the effect of specific drugs on platelet function.

Conclusions

The study findings indicate that TBT has a low reproducibility rate in horses and a wide reference range, making it less useful in detecting platelet function disorders in a clinical setting. The study suggests that alternatives with higher reproducibility should be considered to assess platelet function disorders in horses.

Cite This Article

APA
Segura D, Monreal L. (2008). Poor reproducibility of template bleeding time in horses. J Vet Intern Med, 22(1), 238-241. https://doi.org/10.1111/j.1939-1676.2007.0019.x

Publication

ISSN: 0891-6640
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 22
Issue: 1
Pages: 238-241

Researcher Affiliations

Segura, D
  • Servei de Medicina Interna Equina, Departament de Medicina i Cirurgia Animals, Facultat de Veterinària, Universitat Autònoma de Barcelona, Barcelona, Spain.
Monreal, L

    MeSH Terms

    • Analysis of Variance
    • Animals
    • Bleeding Time / standards
    • Bleeding Time / veterinary
    • Blood Specimen Collection / methods
    • Blood Specimen Collection / veterinary
    • Ethamsylate / pharmacology
    • Ethamsylate / therapeutic use
    • Hemorrhage / drug therapy
    • Hemostatics / pharmacology
    • Hemostatics / therapeutic use
    • Male
    • Platelet Count / veterinary
    • Reproducibility of Results
    • Sensitivity and Specificity

    Citations

    This article has been cited 4 times.
    1. Dahlgren AR, Tablin F, Finno CJ. Genetics of equine bleeding disorders. Equine Vet J 2021 Jan;53(1):30-37.
      doi: 10.1111/evj.13290pubmed: 32463964google scholar: lookup
    2. Norris JW, Pombo M, Shirley E, Blevins G, Tablin F. Association of Factor V Secretion with Protein Kinase B Signaling in Platelets from Horses with Atypical Equine Thrombasthenia. J Vet Intern Med 2015 Sep-Oct;29(5):1387-94.
      doi: 10.1111/jvim.13595pubmed: 26290457google scholar: lookup
    3. Weigand A, Boos AM, Ringwald J, Mieth M, Kneser U, Arkudas A, Bleiziffer O, Klumpp D, Horch RE, Beier JP. New aspects on efficient anticoagulation and antiplatelet strategies in sheep. BMC Vet Res 2013 Oct 3;9:192.
      doi: 10.1186/1746-6148-9-192pubmed: 24088206google scholar: lookup
    4. Mersich I, Bishop RC, Diaz Yucupicio S, Nobrega AD, Austin SM, Barger AM, Fick ME, Wilkins PA. Decreased Circulating Red Cell Mass Induced by Intravenous Acepromazine Administration Alters Viscoelastic and Traditional Plasma Coagulation Testing Results in Healthy Horses. Animals (Basel) 2024 Oct 28;14(21).
      doi: 10.3390/ani14213102pubmed: 39518825google scholar: lookup