Evaluation and modification of the overall hemostasis potential assay for use with canine plasma

Anna L. Dengate Northern Blood Research Centre, Kolling Institute of Medical Research, University of Sydney, St Leonards, NSW 2065, Australia.
Faculty of Veterinary Science, University of Sydney, Camperdown, NSW 2006, Australia.
North Shore Veterinary Specialist Centre, 64 Atchison St, Crows Nest, NSW 2065, Australia.

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Marie-Christine Morel-Kopp Northern Blood Research Centre, Kolling Institute of Medical Research, University of Sydney, St Leonards, NSW 2065, Australia.

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Julia A. Beatty Faculty of Veterinary Science, University of Sydney, Camperdown, NSW 2006, Australia.

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Vanessa Barrs Faculty of Veterinary Science, University of Sydney, Camperdown, NSW 2006, Australia.

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Jody A. Braddock North Shore Veterinary Specialist Centre, 64 Atchison St, Crows Nest, NSW 2065, Australia.

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Richard K. Churcher North Shore Veterinary Specialist Centre, 64 Atchison St, Crows Nest, NSW 2065, Australia.

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Bethany J. Wilson Faculty of Veterinary Science, University of Sydney, Camperdown, NSW 2006, Australia.

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Christopher M. Ward Northern Blood Research Centre, Kolling Institute of Medical Research, University of Sydney, St Leonards, NSW 2065, Australia.

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Abstract

Objective—To optimize the overall hemostasis potential (OHP) assay for use with canine platelet-poor plasma and determine reference intervals in healthy dogs.

Animals—40 healthy dogs.

Procedures—Blood was collected from the dogs into citrated tubes, and platlet-poor plasma was obtained. The OHP assay and standard coagulation assays (prothrombin time, activated partial thromboplastin time, and fibrinogen concentration) were performed for each sample. The OHP assay outputs were tested for correlations with results of the standard coagulation assays, age, and sex.

Results—Modifications to the published methodology for the OHP assay were required for use with canine plasma, with less coagulation activator (thrombin) and more fibrinolysis activator (tissue plasminogen activator) than used with human plasma. Male dogs had a higher OHP than did females. High fibrinogen concentrations were associated with increases in maximum optical density, OHP, and overall coagulation potential, and reduced prothrombin time was associated with increases in maximum optical density, overall coagulation potential, OHP, and maximum slope.

Conclusions and Clinical Relevance—Results supported the use of the OHP assay as an accessible, cost-effective global coagulation assay. Further research is required to determine its clinical application as an alternative to thromboelastography or thrombin generation assays.

Abstract

Objective—To optimize the overall hemostasis potential (OHP) assay for use with canine platelet-poor plasma and determine reference intervals in healthy dogs.

Animals—40 healthy dogs.

Procedures—Blood was collected from the dogs into citrated tubes, and platlet-poor plasma was obtained. The OHP assay and standard coagulation assays (prothrombin time, activated partial thromboplastin time, and fibrinogen concentration) were performed for each sample. The OHP assay outputs were tested for correlations with results of the standard coagulation assays, age, and sex.

Results—Modifications to the published methodology for the OHP assay were required for use with canine plasma, with less coagulation activator (thrombin) and more fibrinolysis activator (tissue plasminogen activator) than used with human plasma. Male dogs had a higher OHP than did females. High fibrinogen concentrations were associated with increases in maximum optical density, OHP, and overall coagulation potential, and reduced prothrombin time was associated with increases in maximum optical density, overall coagulation potential, OHP, and maximum slope.

Conclusions and Clinical Relevance—Results supported the use of the OHP assay as an accessible, cost-effective global coagulation assay. Further research is required to determine its clinical application as an alternative to thromboelastography or thrombin generation assays.

Contributor Notes

Address correspondence to Dr. Dengate (dengate.byron@gmail.com).

Supported by an Australian Companion Animal Health Foundation research grant, the Sarah and Ann Payten Canine Cancer Research Fund, and the J.M. and J.R. Stewart Legacy.

Presented in abstract form at the American College of Veterinary Internal Medicine Forum, New Orleans, June 2012.

The authors thank Hollie Spender and Niccole George for technical assistance.

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