Thirteen serum biochemical indexes and five whole blood coagulation indices in a point-of-care testing analyzer: ideal protocol for evaluating pulmonary and critical care medicine.

IF 4.7 3区 生物学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Journal of Zhejiang University SCIENCE B Pub Date : 2025-01-18 DOI:10.1631/jzus.B2300433
Mingtao Liu, Li Liu, Jiaxi Chen, Zhifeng Huang, Huiqing Zhu, Shengxuan Lin, Weitian Qi, Zhangkai J Cheng, Ning Li, Baoqing Sun
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Abstract

The accurate and timely detection of biochemical coagulation indicators is pivotal in pulmonary and critical care medicine. Despite their reliability, traditional laboratories often lag in terms of rapid diagnosis. Point-of-care testing (POCT) has emerged as a promising alternative, which is awaiting rigorous validation. We assessed 226 samples from patients at the First Affiliated Hospital of Guangzhou Medical University using a Beckman Coulter AU5821 and a PUSHKANG POCT Biochemistry Analyzer MS100. Furthermore, 350 samples were evaluated with a Stago coagulation analyzer STAR MAX and a PUSHKANG POCT Coagulation Analyzer MC100. Metrics included thirteen biochemical indexes, such as albumin, and five coagulation indices, such as prothrombin time. Comparisons were drawn against the PUSHKANG POCT analyzer. Bland-Altman plots (MS100: 0.8206‒0.9995; MC100: 0.8318‒0.9911) evinced significant consistency between methodologies. Spearman correlation pinpointed a potent linear association between conventional devices and the PUSHKANG POCT analyzer, further underscored by a robust correlation coefficient (MS100: 0.713‒0.949; MC100: 0.593‒0.950). The PUSHKANG POCT was validated as a dependable tool for serum and whole blood biochemical and coagulation diagnostics. This emphasizes its prospective clinical efficacy, offering clinicians a swift diagnostic tool and heralding a new era of enhanced patient care outcomes.

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准确及时地检测生化凝血指标在肺病和重症监护医学中至关重要。传统实验室尽管可靠,但在快速诊断方面往往落后。床旁检测(POCT)已成为一种很有前途的替代方法,但仍有待严格验证。我们使用贝克曼库尔特 AU5821 和普什康 POCT 生化分析仪 MS100 对广州医科大学附属第一医院的 226 份患者样本进行了评估。此外,还使用 Stago 凝血分析仪 STAR MAX 和推康 POCT 凝血分析仪 MC100 对 350 份样本进行了评估。指标包括白蛋白等 13 项生化指标和凝血酶原时间等 5 项凝血指标。与 PUSHKANG POCT 分析仪进行了比较。Bland-Altman图(MS100:0.8206-0.9995;MC100:0.8318-0.9911)显示不同方法之间具有显著的一致性。斯皮尔曼(Spearman)相关性表明,传统设备与普什康 POCT 分析仪之间存在着密切的线性关系,而强大的相关系数(MS100:0.713-0.949;MC100:0.593-0.950)则进一步证明了这一点。经过验证,PUSHKANG POCT 是血清和全血生化及凝血诊断的可靠工具。这强调了它的前瞻性临床疗效,为临床医生提供了一种快速诊断工具,预示着一个提高病人护理效果的新时代的到来。
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来源期刊
Journal of Zhejiang University SCIENCE B
Journal of Zhejiang University SCIENCE B 生物-生化与分子生物学
CiteScore
8.70
自引率
13.70%
发文量
2125
审稿时长
3.0 months
期刊介绍: Journal of Zheijang University SCIENCE B - Biomedicine & Biotechnology is an international journal that aims to present the latest development and achievements in scientific research in China and abroad to the world’s scientific community. JZUS-B covers research in Biomedicine and Biotechnology and Biochemistry and topics related to life science subjects, such as Plant and Animal Sciences, Environment and Resource etc.
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