To evaluate the influence of age, sex and ABO blood group on the activ
ated partial thromboplastin time (APTT), we performed this test in 642
preoperative ambulant adult subjects. There was a significant negativ
e correlation (R = 0.31, p < 0.001) between age and APTT. Sex and ABO
blood group had a significant influence on APTT, with lower mean in fe
males (30.9 s) and non-O subjects (30.7 s) than in males (31.6 s) and
O subjects (32.0 s) (p = 0.015 and < 0.001, respectively). The largest
difference between the upper cut-off values of APTT determined in pat
ient subgroups defined on age, sex and ABO blood group is observed for
non-O females over 40 years (36.9 s) and O males under 40 years (41.1
s). These results emphasize the laboratory's difficulties to define v
alid APTT normal range and thus to detect true mild coagulation disord
ers in preoperative asymptomatic patients.