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最大化微量采样:使用新型毛细管血液采集装置测量综合代谢和脂质谱。

Maximizing Microsampling: Measurement of Comprehensive Metabolic and Lipid Panels Using a Novel Capillary Blood Collection Device.

机构信息

Center for Esoteric Testing, Labcorp, Burlington, NC, United States.

出版信息

J Appl Lab Med. 2023 Nov 2;8(6):1115-1126. doi: 10.1093/jalm/jfad066.

Abstract

BACKGROUND

Demand continues to grow for patient-centric sampling solutions that enable collection of small volumes of blood outside of healthcare facilities. Various technologies have been developed to facilitate sample collection but gaps in knowledge remain, preventing these technologies from replacing standard venipuncture.

METHODS

A novel blood collection device, Touch Activated Phlebotomy (TAP) II® from YourBio Health, and standard fingerstick collection using a BD Microtainer® were utilized to collect capillary serum samples. Measurements of a comprehensive metabolic and lipid panels were measured on these samples and compared to results from venous serum samples that were collected in parallel. Hemolysis was used to assess sample quality. Sample volumes obtained from self-collected TAP II samples were also determined.

RESULTS

Correlation of capillary serum with respect to venous serum was demonstrated (R > 0.9) for professionally collected TAP II samples, self-collected TAP II samples, and professionally collected fingerstick samples for alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, blood urea nitrogen, cholesterol, high-density lipoprotein, total bilirubin, and triglycerides. Results for creatinine demonstrated acceptable correlation, however, a consistent negative bias was observed. Biases (with unacceptable correlations) were also observed for measurements of carbon dioxide and potassium. Correlative results for albumin were not consistently acceptable across the collection techniques utilized while the remaining analytes tested did not demonstrate acceptable correlations under any condition. Correlation results, however, would improve with a wider distribution of analyte concentrations.

CONCLUSIONS

Collections of small volumes of liquid blood continue to show potential as a patient-centric solution.

摘要

背景

人们对能够在医疗设施之外采集少量血液的以患者为中心的采样解决方案的需求持续增长。已经开发了各种技术来促进样本采集,但知识仍然存在差距,这使得这些技术无法替代标准的静脉穿刺采血。

方法

利用来自 YourBio Health 的新型血液采集装置 Touch Activated Phlebotomy(TAP) II®和 BD Microtainer®进行标准的手指采血,以采集毛细血管血清样本。对这些样本进行全面代谢和脂质谱的测量,并与同时采集的静脉血清样本的结果进行比较。溶血用于评估样本质量。还确定了从自我采集的 TAP II 样本中获得的样本量。

结果

对于专业采集的 TAP II 样本、自我采集的 TAP II 样本和专业采集的手指采血样本,毛细血管血清与静脉血清之间的相关性得到了证明(R>0.9),碱性磷酸酶、丙氨酸氨基转移酶、天冬氨酸氨基转移酶、血尿素氮、胆固醇、高密度脂蛋白、总胆红素和甘油三酯的结果一致。肌酐的结果表现出可接受的相关性,但观察到一致的负偏差。二氧化碳和钾的测量也存在偏差(相关性不可接受)。在使用的采集技术中,白蛋白的相关性结果并不总是一致的,而其余测试的分析物在任何情况下都没有表现出可接受的相关性。然而,随着分析物浓度分布范围的扩大,相关性结果将会得到改善。

结论

小体积液体血液的采集继续显示出作为以患者为中心的解决方案的潜力。

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