지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.12
- 수록면
- 98 - 107 (10page)
이용수
초록· 키워드
오류제보하기
Objectives: Through a systematic review, we aimed to assess clinical usefulness of bleeding time test as blood coagulation test. Methods: A comprehensive search was performed in three foreign databases (MEDLINE, Embase, and CENTRAL) and five Korean databases up to August 2020 for a systematic review. A key question is this review was clinical safety and effectiveness of the bleeding time test as a screening test for bleeding disorders or as a preoperative bleeding risk assessment test.
The risk of bias assessment was performed using Quality Assessment of Diagnostic Accuracy Studies- II, and a bivariate random effects model was used to reflect inter-study heterogeneity and correlation between test sensitivity and specificity was applied to perform meta-analysis. Results: The bleeding time test is a diagnostic test that measures the time until bleeding stops after artificially injuring a subcutaneous blood vessel. Safety concerns have been pointed out as an invasive test that can cause bleeding and scarring due to the test, but there has been no literature reporting related safety indicators. As a result of synthesizing four quantitatively synthesizable articles out of six studies that reported the usefulness of bleeding time test for screening for bleeding disorders, the area under the summary receiver operating characteristics curve of the bleeding time test was 0.50, and the pooled sensitivity was 0.34 (95% confidence interval [CI] 0.24–0.46), and the pooled specificity was 0.85 (95% CI 0.69–0.93). The diagnostic accuracy of the bleeding time test was at a very low level compared to the PFA-100. In one study that evaluated diagnostic accuracy of the bleeding time test for the purpose of pre-operative bleeding risk assessment, sensitivity was very low at 0.11. Conclusion: The bleeding time test was 520,000 cases within National Health Insurance in 2021. The bleeding time test is not only limited by the diagnostic test itself, such as low diagnostic accuracy and difficulty in standardization of tests, but also limitations that can cause stress and burden on patients and medical staff due to the test limitation. In the current situation where many alternative tests to evaluate bleeding risk already exist, bleeding time test was an invalid method to screen hemorrhagic disorders and to assess preoperative bleeding risk.
목차
등록된 정보가 없습니다.
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
A practical approach for small bowel bleeding
Clinical Endoscopy
2023 .05
-
Efficacy of Multidisciplinary Clinical Pathway for the Management of Postpartum Hemorrhage
Perinatology
2019 .01
-
Optimal Dose of Edoxaban for Very Elderly Atrial Fibrillation Patients at High Risk of Bleeding: The LEDIOS Registry
Korean Circulation Journal
2024 .07
-
A novel concept on volumetric assessment and quantification of gastrointestinal bleed on computed tomography angiography: Observations based on a case series
Annals of Hepato-Biliary-Pancreatic Surgery
2021 .02
-
Could a bleeding-sensor device be established as a new paradigm for detecting upper gastrointestinal bleeding before performing endoscopy?
Clinical Endoscopy
2024 .03
-
Frequency and risk factors of severe postoperative bleeding after proctological surgery: a retrospective case-control study
Annals of Coloproctology
2022 .10
-
Rare bleeding disorders: spectrum of disease and clinical manifestations in the Pakistani population
Blood Research
2020 .01
-
Strategies that Reduce Post-endoscopic Submucosal Dissection Bleeding
Korean Journal of Helicobacter Upper Gastrointestinal Research
2021 .09
-
Role of computed tomography angiography for acute gastrointestinal bleeding
International Journal of Gastrointestinal Intervention
2018 .01
-
Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding
International Journal of Gastrointestinal Intervention
2021 .01
-
상부위장관 출혈로 내원한 정상 혈압 환자에서 활동성 출혈을 예측하기 위한 Glasgow Blatchford score, Pre-Rockall score, AIMS65 score의 유용성 검정 및 새로운 예측인자 개발을 위한 제언
대한응급의학회지
2019 .01
-
Bleeding on the Edge?The Use of Hemostatic Powder for Treating a Bleeding Hypopharyngeal Tumor
Clinical Endoscopy
2021 .01
-
Stroke and Bleeding Risk Assessment in Atrial Fibrillation: Where Are We Now?
Korean Circulation Journal
2021 .01
-
Delayed bleeding after implant surgery in patients taking novel oral anticoagulants: a case report
Journal of dental anesthesia and pain medicine
2017 .01
-
Positive Fecal Occult Blood Test is a Predictive Factor for Gastrointestinal Bleeding after Capsule Endoscopy in Patients with Unexplained Iron Deficiency Anemia: A Korean Multicenter CAPENTRY Study
Clinical Endoscopy
2020 .01
-
Perioperative Management and Outcomes in Children with Hereditary Bleeding Disorder: a Retrospective Review at a Singl e Hemophilia Treatment Center
Clinical Pediatric Hematology-Oncology
2020 .01
-
Comparing hemostatic resuscitation management of intraoperative massive bleeding with traumatic massive bleeding: a computer simulation
Anesthesia and Pain Medicine
2020 .01
-
New endoscopic techniques in treating gastrointestinal bleeding
International Journal of Gastrointestinal Intervention
2018 .01
-
항혈소판 및 항응고제 복용하는 환자의 치과시술 후의 출혈 경향에 대한 후향적 평가
대한통합치과학회지
2020 .01
-
Airway management in patient with continuous bleeding lesion of the trachea -a case report-
Korean Journal of Anesthesiology
2015 .01
최근 본 자료
댓글(0)
0