Hemoglobin Mass Determination: Exploring Carboxyhemoglobin Stability and Analyzer Interchangeability.

IF 2.6 3区 医学 Q2 BIOCHEMICAL RESEARCH METHODS Drug Testing and Analysis Pub Date : 2025-03-03 DOI:10.1002/dta.3877
Janne Bouten, Johan Garcia, Romain Carin, Elie Nader, Aurélien Pichon, Paul Robach, Philippe Connes, Franck Brocherie
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Abstract

Carbon monoxide (CO) rebreathing is frequently used to determine hemoglobin mass (Hbmass) during hypoxic or heat training and high-altitude research. Accurate and reliable carboxyhemoglobin (HbCO) determination is crucial for reliable Hbmass measurements. The aim was therefore to explore the stability of HbCO and interchangeability of two Radiometer analyzers in the determination of Hbmass. Twelve subjects performed a CO rebreathing test. Five capillary blood samples were taken before and after the CO rebreathing test and either analyzed immediately on site (three capillary tubes, Day 1, ABL 90) or stored at room temperature and sent to another laboratory for analysis 4-8 days later (two capillary tubes, ABL 825). Intraclass correlation coefficient (ICC) and relative typical error (TE) were calculated to compare both measurements. A paired sample t test was performed to detect potential differences between Day 1 (ABL 90) and Days 4-8 (ABL 825). A trivial mean difference was observed between the two measurements for ΔHbCO (0.05%, p = 0.01, d = -0.12) and Hbmass (7.7 g, p = 0.01, d = 0.10). High reliability (ICC > 0.98) and low TE (< 0.91%) were found for ΔHbCO and Hbmass. Immediate analysis with the same analyzer remains recommended despite trivial differences between measurements. However, when logistical issues (analyzer breakdown, extreme, and/or remote locations) do not allow optimal procedures, delayed analysis, potentially with a different analyzer, might be used as a viable alternative.

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在缺氧或高温训练和高海拔研究中,经常使用一氧化碳(CO)回吸法测定血红蛋白质量(Hbmass)。准确可靠的碳氧血红蛋白(HbCO)测定对于可靠的血红蛋白质量测量至关重要。因此,我们的目的是探索 HbCO 的稳定性以及两种雷度分析仪在测定 Hbmass 时的互换性。12 名受试者进行了二氧化碳呼气测试。在一氧化碳再呼吸测试前后采集了五份毛细管血样,并立即在现场进行分析(三支毛细管,第 1 天,ABL 90)或在室温下保存,4-8 天后送往另一家实验室进行分析(两支毛细管,ABL 825)。计算类内相关系数 (ICC) 和相对典型误差 (TE) 以比较两种测量结果。为检测第 1 天(ABL 90)和第 4-8 天(ABL 825)之间的潜在差异,进行了配对样本 t 检验。在两次测量中,ΔHbCO(0.05%,p = 0.01,d = -0.12)和Hbmass(7.7 g,p = 0.01,d = 0.10)的平均差异微不足道。可靠性高(ICC > 0.98),TE(质量、血红蛋白质量)低。尽管测量结果之间存在微小差异,但仍建议使用同一分析仪立即进行分析。然而,当后勤问题(分析仪故障、极端情况和/或位置偏远)不允许采用最佳程序时,延迟分析(可能使用不同的分析仪)不失为一种可行的替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Drug Testing and Analysis
Drug Testing and Analysis BIOCHEMICAL RESEARCH METHODS-CHEMISTRY, ANALYTICAL
CiteScore
5.90
自引率
24.10%
发文量
191
审稿时长
2.3 months
期刊介绍: As the incidence of drugs escalates in 21st century living, their detection and analysis have become increasingly important. Sport, the workplace, crime investigation, homeland security, the pharmaceutical industry and the environment are just some of the high profile arenas in which analytical testing has provided an important investigative tool for uncovering the presence of extraneous substances. In addition to the usual publishing fare of primary research articles, case reports and letters, Drug Testing and Analysis offers a unique combination of; ‘How to’ material such as ‘Tutorials’ and ‘Reviews’, Speculative pieces (‘Commentaries’ and ‘Perspectives'', providing a broader scientific and social context to the aspects of analytical testing), ‘Annual banned substance reviews’ (delivering a critical evaluation of the methods used in the characterization of established and newly outlawed compounds). Rather than focus on the application of a single technique, Drug Testing and Analysis employs a unique multidisciplinary approach to the field of controversial compound determination. Papers discussing chromatography, mass spectrometry, immunological approaches, 1D/2D gel electrophoresis, to name just a few select methods, are welcomed where their application is related to any of the six key topics listed below.
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