Tourniquet test explained

A tourniquet test (also known as a Rumpel-Leede capillary-fragility test or simply a capillary fragility test) determines capillary fragility. It is a clinical diagnostic method to determine a patient's haemorrhagic tendency. It assesses fragility of capillary walls and is used to identify thrombocytopenia (a reduced platelet count).

A blood pressure cuff is applied and inflated to the midpoint between the systolic and diastolic blood pressures for five minutes. The test is positive if there are more than 10 to 20 petechiae per square inch.^{[1] [2]}

The test was once part of the World Health Organization (WHO) algorithm for diagnosis of dengue fever,^[3] however it is no longer used in the latest WHO guidance.^[4] Studies have shown that the tourniquet test has low predictive value for dengue fever and should be used in conjunction with other tests for a reliable diagnosis.^{[5] [6] [7] [8]}

See also

• Hess test

Notes and References

1. Web site: Tourniquet test.
2. Book: Halstead, Scott B.. Dengue. 2008. Imperial College Press. London. 978-1-84816-228-0. 180 & 429.
3. Book: WHO . Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control . World Health Organization . 2009 . 978-92-4-154787-1.
4. Web site: September 2022 . Dengue Outbreak Toolbox . 2024-03-07 . World Health Organization . en.
5. Grande . Antonio Jose . Reid . Hamish . Thomas . Emma . Foster . Charlie . Darton . Thomas C. . 2016-08-03 . Tourniquet Test for Dengue Diagnosis: Systematic Review and Meta-analysis of Diagnostic Test Accuracy . PLOS Neglected Tropical Diseases . 10 . 8 . e0004888 . 10.1371/journal.pntd.0004888 . free . 1935-2727 . 4972435 . 27486661.
6. Cao XT, etal . 2002 . Evaluation of the World Health Organization standard tourniquet test and a modified tourniquet test in the diagnosis of dengue infection in Viet Nam . Trop Med Int Health . 7 . 2 . 125 - 32 . 10.1046/j.1365-3156.2002.00841.x . 11841702 . 42105522 .
7. Mayxay . etal . 2011 . Predictive diagnostic value of the tourniquet test for the diagnosis of dengue infection in adults. . Trop Med Int Health . 16 . 1 . 127–33 . 10.1111/j.1365-3156.2010.02641.x . 3073123 . 20958892.
8. Norlijah O, etal . 2006 . Repeated tourniquet testing as a diagnostic tool in dengue infection. . Med J Malaysia . 61 . 1 . 22–27 . 16708730.