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. 2023 Jan 2;222:85–95. doi: 10.1016/j.thromres.2022.12.019

Table 4.

Values of aTGA parameters in patients initially admitted to a medical ward, according to the need for later transfer to an ICU due to clinical worsening. AUC: area under the receiver operating characteristic curve. OR: odds ratio.


Transfer to ICU after an initial admision into a medicine ward


THROMBIN GENERATION ASSAY TGA, parameters No, N=87a Yes, N=42a Pb AUC OR, 95 % C.I. Pc
Without thrombomodulin, TM-
Lag time (LT_TM-), min. 3.8 (2.8) 4.1 (2.0) 0.2 0.576 (0.464–0.689) 1.04 (0.88–1.22) 0.6
 Normalised LT_TM- 1.9 (1.5) 2.0 (0.9) 0.2 0.571 (0.448–0.694) 1.07 (0.76–1.50) 0.7
Velocity index (V_TM-), nmol.min.−1 167.6 (105.1) 217.4 (135.9) 0.040 0.620 (0.498–0.742) 1.00 (1.00–1.01) 0.05
 Normalised V_TM- 159.5 (107.4) 193.2 (119.6) 0.086 0.605 (0.478–0.732) 1.00 (1.00–1.01) 0.2
Thrombin peak height (PH_TM-), nmol.L−1 260.3 (94.9) 288.65(112.9) 0.050 0.615 (0.491–0.739) 1.00 (1.00–1.01) 0.2
 Normalised PH_TM- 125.9 (48.2) 134.9 (53.6) 0.15 0.589 (0.462–0.715) 1.00 (1.00–1.01) 0.4
Time to peak (TTP_TM-), min. 6.2 (3.4) 6.4 (3.3) 0.8 0.518 (0.397–0.640) 1.02 (0.89–1.15) 0.7
 Normalised TTP_TM- 1.4 (0.9) 1.5 (0.7) > 0.9 0.504 (0.375–0.633) 1.09 (0.62–1.84) 0.7
Start tail (ST_TM-), min. 19.9 (5.9) 20.0 (8.8) 0.2 0.573 (0.452–0.694) 1.00 (0.94–1.06) > 0.9
 Normalised ST_TM- 1.1 (0.3) 1.1 (0.5) 0.5 0.545 (0.418–0.673) 1.19 (0.38–3.44) 0.7
Endogenous thrombin potential (ETP_TM-), nmol.min. 1407.9 (389.0) 1388.9 (401.4) > 0.9 0.504 (0.389–0.618) 1.00 (1.00–1.00) 0.8
 Normalised ETP_TM- 108.9 (29.7) 107.6 (31.5) > 0.9 0.499 (0.376–0.621) 0.98 (0.97–1.00) 0.8



With thrombomodulin, TM+
Lag time (LT_TM+), min. 4.4 (2.2) 4.6 (1.7) 0.2 0.573 (0.456–0.689) 1.17 (0.89–1.49) 0.7
Velocity index (V_TM+), nmol.min.−1 141.2 (108.2) 208.8 (132.6) 0.007 0.665 (0.546–0.783) 1.00 (1.00–1.01) 0.06
Thrombin peak height (PH_TM+), nmol.L−1 182.9 (100.9) 245.8 (110.0) 0.003 0.680 (0.562–0.798) 1.00 (1.00–1.01) 0.05
Time to peak (TTP_TM+), min. 6.4 (2.5) 6.3 (2.0) 0.8 0.487 (0.364–0.609) 1.00 (0.82–1.18) > 0.9
Start tail (ST_TM+), min. 15.9 (2.8) 15.5 (1.9) 0.7 0.480 (0.363–0.597) 1.00 (0.76–1.11) 0.5
Endogenous thrombin potential (ETP_TM+), nmol.min. 752.4 (386.0) 952.0 (392.7) 0.008 0.663 (0.542–0.784) 1.00 (1.00–1.00) 0.05



Thrombomodulin effect on TGA
(ETP_TM+: ETP_TM-) ratio 0.5 (0.2) 0.6 (0.2) 0.009 0.660 (0.541–0.799) 15.5 (2.15–132) 0.009
a

Mean (SD).

b

Wilcoxon rank sum test.

c

Wald test for OR = 1.