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Star max instrument

Manufactured by Diagnostica Stago
Sourced in France

The STAR Max® instrument is a fully automated coagulation analyzer designed for high-volume clinical laboratories. It is capable of performing a wide range of coagulation tests, including prothrombin time (PT), activated partial thromboplastin time (aPTT), and other specialized assays. The STAR Max® offers efficient sample processing, rapid turnaround times, and reliable results to support clinical decision-making.

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2 protocols using star max instrument

1

Coagulation Markers in COVID-19 Patients

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Samples were collected at admission, and days 3, 7, and 14 for patients staying as long as 14 days. All patients had 10 cc of EDTA-treated blood, 10 cc of citrate-treated blood (at 3.2%), and 5 cc of sodium heparin-treated blood collected. CBC was tested on the EDTA samples with an automated SYSMEX XN-10 instrument (Sysmex Corporation, Kobe, Japan). Serum creatinine and C reactive protein were measured with a COBAS 601 automated chemistry analyzer (Roche Diagnostics, Basel, Switzerland).
The samples for coagulation tests were centrifuged within 2 h after collection and divided into aliquots for testing of coagulation markers including PT/INR, aPTT, D-dimer level, and fibrinogen (FIB) at all four time points. Antithrombin III (AT), protein C (PC), protein S (PS), von Willebrand factor antigen (vWFAg), and factor VIII (FVIII) activity testing was performed with a STAR Max® instrument (Diagnostica Stago, Marseille, France) after patient admission to the hospital.
The VTE and DIC scores were calculated for all admitted patients at admission, and days 3, 7, and 14. Mortality was defined as the number of deaths among all participants and is reported as a percentage.
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2

Comprehensive Biomarker Analysis of COVID-19

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Measurements of enzyme activities (AST, ALT, GGT, ALP and LDH) were performed on a Roche COBAS 8000 apparatus (Roche Diagnostic, Basel, Switzerland). Pyridoxal phosphate was added when measuring AST and ALT. All of the methods for measurement of enzyme activity are standardized to IFCC reference measurement procedures. Creatinine (CREA), CRP, IL6 and NT-proB-type Natriuretic Peptide (proBNP) were also measured on a Roche COBAS 8,000 instrument, using the following: immunoturbidimetric assay (CRP), enzymatic method (CREA), electrochemiluminescent assay (IL6 and pro-BNP) [15] . D-dimer measurements were performed using a Star Max Instrument (Diagnostica Stago, Inc.) using a Stago reagent, in Latex turbidimetric principle. WBC, platelets, neutrophils and lymphocytes were measured on Sysmex XE 2100 (Sysmex, Japan). Blood samples were collected, daily or every other day, as described elsewhere [16, 17] .
The RT-PCR was performed on a Roche Cobas Z480 thermocycler using the Roche provided PCR Kit [18] . Clinical information on comorbidities were from ER medical records.
Individuals signed an informed consent authorizing the use of their anonymous data for retrospective observational studies (article 9.2.j; EU general data protection regulation 2016/679 [GDPR]), in accordance to the San Raffaele Hospital policy (IOG075/ 2016).
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