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用于犬、马和猫血浆样本的临床干式化学分析仪的评估。

Evaluation of an in-clinic dry chemistry analyzer for canine, equine, and feline plasma samples.

作者信息

Boes Katie M, Sink Carolyn A, Camus Melinda S, Werre Stephen R

机构信息

Department of Biomedical Sciences and Pathobiology (Boes), Virginia-Maryland College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, VA.

Veterinary Teaching Hospital (Sink), Virginia-Maryland College of Veterinary Medicine, Virginia Polytechnic Institute and State University, Blacksburg, VA.

出版信息

J Vet Diagn Invest. 2018 Nov;30(6):902-910. doi: 10.1177/1040638718809407. Epub 2018 Oct 20.

Abstract

Method validation studies characterize the performance of new laboratory methods relative to established methods using quality guidelines in order to define the new method's performance characteristics and to identify differences that could influence data interpretation. We investigated the performance of an in-clinic dry chemistry analyzer (Catalyst One, IDEXX) for measuring 19 routine plasma biochemistry analytes in dogs, cats, and horses. We analyzed 2 levels of quality control material (QCM) in duplicate twice daily for 5 d to determine the coefficient of variation (CV), percent bias, observed total error (TE), and sigma metric (σ) for each analyte at each level of QCM. We analyzed 82 canine, equine, and feline plasma samples with the in-clinic dry chemistry analyzer and a reference wet chemistry analyzer, and results were compared using correlation coefficients, Deming regression, and Bland-Altman analyses. CVs were <5% for 16 analytes and ⩾5% for 3 analytes. TE was less than allowable total error (TE) for 9 analytes, and exceeded TE for 10 analytes. Sigma metrics were >4 at both levels of QCM for 5 analytes, and at one level of QCM for 5 analytes; sigma metrics were <3 or could not be calculated at the remaining analyte concentrations. All analytes, except glucose, showed various magnitudes of bias compared to the wet chemistry analyzer. Based on these results, we recommend statistical (5 analytes) and non-statistical (14 analytes) QC measures and analyzer-specific reference intervals.

摘要

方法验证研究使用质量指南来描述新实验室方法相对于既定方法的性能,以定义新方法的性能特征,并识别可能影响数据解释的差异。我们调查了一种临床干式化学分析仪(Catalyst One,IDEXX)在测量犬、猫和马的19种常规血浆生化分析物方面的性能。我们每天两次对两种水平的质量控制材料(QCM)进行双份分析,持续5天,以确定每种分析物在每个QCM水平下的变异系数(CV)、偏差百分比、观察到的总误差(TE)和西格玛度量(σ)。我们使用临床干式化学分析仪和参考湿式化学分析仪对82份犬、马和猫的血浆样本进行了分析,并使用相关系数、Deming回归和Bland-Altman分析对结果进行了比较。16种分析物的CV<5%,3种分析物的CV⩾5%。9种分析物的TE小于允许总误差(TE),10种分析物的TE超过了TE。5种分析物在两种QCM水平下的西格玛度量>4,5种分析物在一种QCM水平下的西格玛度量>4;其余分析物浓度下的西格玛度量<3或无法计算。与湿式化学分析仪相比,除葡萄糖外的所有分析物均表现出不同程度的偏差。基于这些结果,我们推荐了统计(5种分析物)和非统计(14种分析物)质量控制措施以及分析仪特定的参考区间。

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