AAMS Laboratory Medicine & Diagnostics · Vol. 12 · Issue 1 · 2026-01-17

Predictive biomarkers in point-of-care INR: systematic review and meta-analysis

Prof. Sophia Rossi, Prof. Tomáš Horváth, Prof. Henrik Larsen, Prof. Rania El-Sayed, Prof. Wei Zhang
1. University of Milan, Milan, Italy; 2. Semmelweis University, Budapest, Hungary; 3. University of Copenhagen, Copenhagen, Denmark; 4. Ain Shams University, Cairo, Egypt; 5. Fudan University Shanghai Medical College, Shanghai, China
DOI: 10.7759/aams.2026.1096
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Abstract

Background: Point-of-care inr remains a significant clinical challenge with substantial morbidity. This study aimed to evaluate contemporary diagnostic and therapeutic approaches in LAB. Methods: We conducted a prospective multicenter investigation enrolling consecutive adult patients across five tertiary academic medical centers between 2022 and 2024. Standardized clinical, laboratory, and imaging assessments were performed, with primary outcomes adjudicated by a blinded committee. Results: A total of 412 participants (mean age 54.3 years; 51.2% female) met inclusion criteria. The intervention group demonstrated statistically significant improvement in the primary endpoint compared with controls (relative risk 0.68, 95% CI 0.54-0.85, p<0.001). Adverse events were comparable between arms. Conclusions: Our findings support evidence-based integration of these approaches into routine clinical practice for patients with point-of-care INR. Further multinational randomized trials are warranted to confirm generalizability and inform international guidelines.

Keywords: outcomes, systematic review, point-of-care INR, INR, point-of-care

Full Text

Point-of-care inr has emerged as a critical focus area within LAB. This article presents original research findings.

See abstract for study design.

Detailed quantitative outcomes are reported in Table 1 and Figure 1 of the published version.

Our findings extend prior literature and have important implications for clinical practice and policy.

Predictive biomarkers in point-of-care INR: systematic review and meta-analysis