{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T15:14:02Z","timestamp":1784128442786,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,7,25]],"date-time":"2019-07-25T00:00:00Z","timestamp":1564012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Rep Immunol"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Problem<\/jats:title><jats:p>To investigate the value of thromboelastography (TEG) combined with antithrombin III (AT\u2010III) and D\u2010Dimer in predicting the occurrence of recurrent spontaneous abortion (RSA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method of study<\/jats:title><jats:p>One hundred and five RSA patients and 40 fertile women were enrolled. The subjects were subjected into four groups: group 1 (40 fertile women), group 2 (58 women with 2 abortions), group 3 (30 women with 3 abortions), and group 4 (17 women with four abortions). TEG was conducted on all subjects. Clotting time, reaction time, angle degree, coagulation index, and maximum amplitude were measured. The levels AT\u2010III, D\u2010Dimer, platelet counts, and fibrinogen concentration were determined. The ROC curve analysis was done using MedCalc software to analyse the diagnosis accuracy of the parameters of interest and the combined approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The AT\u2010III level in all group 4 was significantly lower than in fertile women. The D\u2010Dimer concentration, platelet count, and MA in patients with four prior abortions were significantly higher than the other three groups. CI and fibrinogen concentration in patients with four prior pregnancy losses were significantly higher than group 1. The ROC curves suggested that combined use of CI, MA, AT\u2010III, and D\u2010Dimer was with the highest accuracy 92.8%, thus predicting the most accurate diagnosis for RSA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Recurrent spontaneous abortion is associated with abnormal coagulation and anticoagulation. TEG combined with detection of AT\u2010III and D\u2010Dimer levels can distinguish patient with RSA from those with normal fertility and highly possibly predict the occurrence of RSA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aji.13165","type":"journal-article","created":{"date-parts":[[2019,7,8]],"date-time":"2019-07-08T15:55:02Z","timestamp":1562601302000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Predictive value of thromboelastography parameters combined with antithrombin III and D\u2010Dimer in patients with recurrent spontaneous abortion"],"prefix":"10.1111","volume":"82","author":[{"given":"Ping","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Reproductive Medicine Dezhou People's Hospital Dezhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongjun","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Reproductive Medicine Dezhou 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