Screening coagulation tests

Alfonso Iorio

Dr Alfonso Iorio is a professor in the Division of Hematology and Thromboembolism, Division of General Internal Medicine, and Department of Health Research Methods, Evidence, and Impact at McMaster University.

What are the indications to perform screening coagulation tests?

Alfonso Iorio, MD, PhD: This is a tricky question. Essentially a patient with a personal or family history positive for a bleeding disorder will undergo screening. This also applies to a patient with a noninformative bleeding history, so when there were no important challenges, no surgery, no big trauma, and we cannot really tell if they are able to clot or not. And then a patient undergoing surgery in this situation.

In all other cases screening of the general population makes no sense.

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