Małecka Milena, Ciepiela Olga
Department of Laboratory Medicine, Medical University of Warsaw, Poland.
Central Laboratory of Central Clinical Hospital, University Clinical Center, Warsaw, Poland.
Pract Lab Med. 2020 Oct 29;22:e00186. doi: 10.1016/j.plabm.2020.e00186. eCollection 2020 Nov.
A complete blood count is a highly automated laboratory test. The use of highly advanced measurement methods increases the accuracy and sensitivity of the determination of individual hematological parameters, especially in the case of white blood cells differentiation. Therefore, it is necessary to make comparative analyses, which involve performance of the analyzers used in daily work. The aim of the study was to indicate whether the results obtained using two compared analyzers show significant differences.
In this study a comparative analysis of 241 peripheral blood samples from adult patients was performed. The complete blood count results were obtained using two automated hematology analyzers: Sysmex XN-2000 and Horiba Yumizen H2500. The Passing-Bablok regression method and Bland- Altman analysis were also used to evaluate the results received for both analyzers.
Statistically significant differences were found for four hematological parameters: eosinophil count, immature granulocytes, mean corpuscular hemoglobin concentration (MCHC) and platelet distribution width (PDW). The P value for MCHC was 0.01. Sysmex XN-2000 and Horiba Yumizen H2500 also showed disagreement in plate platelet distribution width (PDW) (P = 0.04). For other parameters both analyzers showed good agreement.
Based on the results of the study, it was shown that there are significant differences in the measurements of hematological parameters between compared analyzers.
全血细胞计数是一项高度自动化的实验室检测。使用高度先进的测量方法可提高个体血液学参数测定的准确性和灵敏度,尤其是在白细胞分化的情况下。因此,有必要进行比较分析,其中涉及日常工作中使用的分析仪的性能。本研究的目的是表明使用两种比较的分析仪获得的结果是否存在显著差异。
本研究对241例成年患者的外周血样本进行了比较分析。使用两种自动血液分析仪:Sysmex XN - 2000和Horiba Yumizen H2500获得全血细胞计数结果。还使用了Passing - Bablok回归方法和Bland - Altman分析来评估两种分析仪获得的结果。
发现四个血液学参数存在统计学显著差异:嗜酸性粒细胞计数、未成熟粒细胞、平均红细胞血红蛋白浓度(MCHC)和血小板分布宽度(PDW)。MCHC的P值为0.01。Sysmex XN - 2000和Horiba Yumizen H2500在血小板分布宽度(PDW)方面也存在不一致(P = 0.04)。对于其他参数,两种分析仪显示出良好的一致性。
基于研究结果表明,比较的分析仪之间在血液学参数测量上存在显著差异。