Department of Medical Sciences, Section Clinical Chemistry, Uppsala University, Akademiska sjukhuset, entrance 61, 3rd floor, SE-751 85, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
BMC Fam Pract. 2019 Jun 7;20(1):77. doi: 10.1186/s12875-019-0971-2.
Patients with anemia are frequently encountered in primary care. Once anemia is detected, it is essential to define the type and identify the underlying cause prior to initiation of treatment. In most cases, the cause can be determined using information from the patient history, physical exam, and complete blood counts (CBC). Point of care testing of blood cell counts would speed up the work up of anemia patients. The aim of the present study was to evaluate if the HemoScreen™ instrument (PixCell Medical, Yokneam Ilit, Israel) could be used for primary care samples. It is a POCT instrument that utilizes single sample cuvettes and image analysis of full blood count including RBC, Hemoglobin, MCV, MCH, platelets, WBC, and WBC 5-part differential.
We compared the HemoScreen™ and the Sysmex XN instrument results of 100 primary care patient samples focusing on the total white blood cells, red blood cell parameters RBC, Hemoglobin, MCH, MCV and platelets.
Deming correlations between the HemoScreen™ and the Sysmex XN instruments for the CBC were WBC = 1.016* WBC + 0.34; r = 0.981, RBC = 0.988* RBC + 0.015; r = 0.974, Hemoglobin = 1.081* Hemoglobin - 11.25; r = 0.964, MCH = 0.978* MCH + 0.78; r = 0.939, MCV = 0.963* MCV + 8.68; r = 0.946, Platelets = 0.964* Platelets + 25.7; r = 0.953.
The HemoScreen™ instrument could provide rapid and accurate test results for evaluation of the red blood cell parameters in primary care. This new technology is interesting as it allows the analysis red blood cell parameters also at small primary care centers.
贫血患者在初级保健中经常遇到。一旦发现贫血，在开始治疗之前，必须确定贫血的类型并找出潜在原因。在大多数情况下，可以通过患者病史、体检和全血细胞计数（CBC）中的信息来确定原因。即时检测血液细胞计数可以加快贫血患者的诊断。本研究的目的是评估 HemoScreen™ 仪器（PixCell Medical，以色列 Yokneam Ilit）是否可用于初级保健样本。它是一种 POCT 仪器，可利用单个样本比色皿和全血细胞计数的图像分析，包括 RBC、血红蛋白、MCV、MCH、血小板、WBC 和 WBC 五分群。
我们比较了 HemoScreen™ 和 Sysmex XN 仪器对 100 例初级保健患者样本的结果，重点是总白细胞、红细胞参数 RBC、血红蛋白、MCH、MCV 和血小板。
HemoScreen™ 和 Sysmex XN 仪器之间的 CBC 之间的 Deming 相关性为 WBC=1.016WBC+0.34；r=0.981，RBC=0.988RBC+0.015；r=0.974，血红蛋白=1.081血红蛋白-11.25；r=0.964，MCH=0.978MCH+0.78；r=0.939，MCV=0.963MCV+8.68；r=0.946，血小板=0.964血小板+25.7；r=0.953。
HemoScreen™ 仪器可提供快速准确的检测结果，用于评估初级保健中的红细胞参数。这项新技术很有趣，因为它允许在小型初级保健中心也分析红细胞参数。
