Paper diagnostic for direct measurement of fibrinogen concentration in whole blood

Marek Bialkower, Clare A. Manderson, Heather McLiesh, Rico F. Tabor, Gil Garnier

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)


The ability to diagnose and treat critically bleeding patients can save more than 2 million lives a year. Diagnosing hypofibrinogenemia is essential in these patients. Recently, with the development of new handheld diagnostics, fibrinogen concentration can be measured rapidly at the point of care. However, these diagnostics can only work with plasma and hence need blood cells to be separated before use. In this study, we demonstrate a handheld fibrinogen diagnostic that works with whole blood. The test works by (1) forming a premixed droplet of a whole blood sample and thrombin solution on a solid surface, (2) allowing it to clot, and (3) dropping a paper strip on top. The further that blood moves down the strip, the lower the fibrinogen concentration. The diagnostic can easily measure plasma fibrinogen concentrations below 1.6 g/L for blood samples with hematocrits between 40 and 50%. Furthermore, diluting blood samples not only increases the test's sensitivity but also eliminates the effect of hematocrit and thrombin inhibitors. The test can be completed in 3-4 min, making it suitable for diagnosing early hypofibrinogenemia and allowing for fibrinogen replacement therapy in critically bleeding patients.

Original languageEnglish
Pages (from-to)3627–3638
Number of pages12
JournalACS Sensors
Issue number11
Publication statusPublished - 23 Oct 2020


  • bleeding
  • coagulopathy
  • fibrinogen concentration
  • hemorrhage
  • paper fibrinogen diagnostic
  • point of care
  • transfusion
  • whole blood

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