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Table 2 Diagnostic accuracy of Hemochron™ Signature Elite POCT for edoxaban

From: Point-of-care testing for emergency assessment of coagulation in patients treated with direct oral anticoagulants including edoxaban

Treatment threshold

Ideal cut-off

Specificity, %

Sensitivity, %

MP, %

LR

PPV, %

NPV, %

≤30 ng/mL

lab-basedcalibratedanti-Xa activity ≤ 30 ng/mL

100.0(91.7–100)

94.0(82.5–98.4)

0.0

100(90.6–100)

94.7(84.5–98.6)

HC-INR ≤ 1.5

98.6(91.2–99.9)

98.0(88.0–99.9)

1.4

68.6(9.8–480.4)

98.0(88.0–99.9)

98.6(91.2–100)

HC-ACT+ ≤ 115 s

97.1(89.1–99.5)

59.2(44.3–72.7)

2.9

20.7(5.2–82.8)

93.5(77.2–98.9)

77.3(66.9–85.2)

HC-ACT-LR ≤ 105 s

97.1(89.1–99.5)

38.3(24.9–53.6)

2.3

13.4(3.3–55.1)

90.0(66.9–98.2)

70.1(59.8–78.8)

HC-aPTT ≤ 68 s

95.7(87.0–98.9)

50.0(35.4–64.6)

4.3

11.5(3.7–36.0)

88.9(69.7–97.1)

73.3(62.8–81.9)

≤50 ng/mL

lab-basedcalibratedanti-Xa activity ≤ 50 ng/mL

100(90.6–100)

89.5(77.8–95.6)

0.0

100(91.3–100)

88.7(76.3–95.3)

HC-INR ≤ 2.1

96.8(88.0–99.4)

96.5(86.8–99.4)

3.2

30.4(7.8–119.0)

96.5(86.8–99.4)

96.8(88.0–99.4)

HC-ACT+ ≤ 120 s

95.2(85.8–98.8)

57.1(43.2–70.0)

4.8

12.0(3.9–37.1)

91.4(75.8–97.8)

71.4(60.4–80.5)

HC-ACT-LR ≤ 110 s

95.2(85.8–98.8)

48.1(34.5–62.0)

4.8

10.1(3.2–31.6)

89.7(71.5–97.3)

68.2(57.3–77.5)

HC-aPTT ≤ 68 s

95.2(85.8–98.8)

44.4(31.2–58.5)

4.8

9.3(3.0–29.3)

88.9(69.7–97.1)

66.7(55.9–76.0)

  1. HC-INR, HC-ACT+, HC-ACT-LR, HC-aPTT = Hemochron™ Signature Elite point-of-care test system-based international normalized ratio, activated clotting time, and activated partial thromboplastin time; MP Misprediction percentage; LR Likelihood ratio; PPV Positive predictive value; NPV Negative predictive value. 95%-confidence intervals are reported in brackets wherever applicable