Clin Lab. 2022 May 1;68(5). doi: 10.7754/Clin.Lab.2021.210606.
Automatic coagulation analyzers have been used in the last 50 years and have been developed considerably. Newly developed tests and methods cannot be conducted in routine laboratories without evaluating their performance. Therefore, their performance must be evaluated and approved before being used routinely. The aim of this study is to evaluate the analytical performance of Sysmex Coagulation System-2500 (CS-2500) and Sekisui CP-3000 automatic coagulation analyzer (CP-3000).
For APTT, PT, and D-dimer tests, reference range verification study, a method comparison study was performed in both analyzers in accordance with CLSI protocols, and precision and accuracy were evaluated using internal and external quality control samples. In the evaluation of precision and accuracy, CV% and bias% values were calculated. Bland-Altman, Passing-Bablok regression analysis, and correlation coefficient were used in the comparison study.
The CV% values calculated for APTT and PT in both analyzers were found to be below the CLSI recommendation of 5%. D-dimer test results meet the quality criteria recommended by CLSI. Accuracy for both analyzers was within the acceptable limits. The reference ranges recommended by the manufacturer have been veryfied. Regression equations for APTT, PT, and D-dimer are y = -3.313 + 1.188x, y = -0.0399 + 1.048x, and y = 0.155 + 0.655x, respectively, and r values were 0.904, 0.978, and 0.974, respectively.
CS-2500 and CP-3000 analyzers are suitable for laboratory use for routine coagulation. Since the CP-3000 device is newly used in our country, it needs to be supported by more comparison studies.
自动凝血分析仪在过去的 50 年中得到了广泛应用,并得到了极大的发展。如果没有对新开发的检测方法进行性能评估,那么它们就不能在常规实验室中使用。因此,在常规使用之前,必须对其性能进行评估和批准。本研究旨在评估 Sysmex 凝血系统-2500(CS-2500)和积水医疗 CP-3000 全自动凝血分析仪(CP-3000)的分析性能。
在 APTT、PT 和 D-二聚体检测方面,我们根据 CLSI 方案,对这两种分析仪进行了参考范围验证研究和方法比较研究,使用内部和外部质控品评估了精密度和准确性。在评估精密度和准确性时,计算了 CV%和偏倚%值。在比较研究中,我们使用了 Bland-Altman、Passing-Bablok 回归分析和相关系数。
我们发现,两种分析仪的 APTT 和 PT 的 CV%值均低于 CLSI 推荐的 5%。D-二聚体检测结果符合 CLSI 推荐的质量标准。两种分析仪的准确性均在可接受范围内。制造商推荐的参考范围已得到验证。APTT、PT 和 D-二聚体的回归方程分别为 y = -3.313 + 1.188x、y = -0.0399 + 1.048x 和 y = 0.155 + 0.655x,相关系数 r 分别为 0.904、0.978 和 0.974。
CS-2500 和 CP-3000 分析仪适用于常规凝血的实验室使用。由于 CP-3000 仪器在我国是新使用的,需要更多的比较研究来支持。