验证用于常规实验室分析的 Hem-Col 毛细管采血系统。

IF 1.3 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Scandinavian Journal of Clinical & Laboratory Investigation Pub Date : 2023-12-01 Epub Date: 2024-01-24 DOI:10.1080/00365513.2024.2301779
Steef Kurstjens, Marjon J den Besten, Dorien A M van Dartel, Marloes C C van Gend, Lizzy Meerts, Rein M J Hoedemakers
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引用次数: 0

摘要

使用 Hem-Col 管(Labonovum)在家采集毛细血管血液可为需要经常进行实验室分析的慢性病患者提供一种解决方案。采集管中含有保存缓冲液,可使分析物稳定长达 5 天。在这项验证研究中,我们调查了 Hem-Col 管在采集 5 天后是否能准确测量分析物。46 名健康志愿者使用 Hem-Col 管进行了静脉穿刺献血和毛细管刺血。静脉穿刺法在 2 小时内测定分析物,Hem-Col 法在 120 小时后测定分析物。采用 Passing-Bablok 回归分析法对每种分析物的结果进行分析。符合预定接受标准的分析物是总胆固醇、低密度脂蛋白胆固醇、促甲状腺激素(TSH)和糖化血红蛋白(HbA1c)。高密度脂蛋白胆固醇、C 反应蛋白 (CRP)、铁蛋白、总胆红素、肌酐、谷丙转氨酶和甘油三酯符合三项接受标准中的两项。所有其他分析物均不符合预定标准。Hem-Col 方法适用于测量总胆固醇、低密度脂蛋白胆固醇、促甲状腺激素 (TSH) 和糖化血红蛋白 (HbA1c)。然而,由于有效检测项目有限且存在实际局限性,这种新型采集系统在日常实践中的常规应用受到了限制。
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Validation of the Hem-Col capillary blood collection system for routine laboratory analyses.

At home collection of capillary blood using Hem-Col tubes (Labonovum) could offer a solution to patients with chronic conditions, who require frequent laboratory analyses. The collection tubes contain a conservation buffer to stabilize analytes for up to 5 days. In this validation study it was investigated whether analytes are measured accurately in Hem-Col tubes 5 days after collection. Forty-six healthy volunteers donated blood via venepuncture as well as capillary blood by finger prick using Hem-Col tubes. The analytes were measured within 2 h for the venepuncture and after 120 h for the Hem-Col method. The results of each analyte were analysed using Passing-Bablok regression analyses. The analytes that met the predefined acceptance criteria were total cholesterol, LDL-cholesterol, thyroid stimulating hormone (TSH) and glycated haemoglobin (HbA1c). HDL-cholesterol, C-reactive protein (CRP), ferritin, bilirubin total, creatinine, gGT and triglycerides met two out of three acceptance criteria. All other analytes did not meet the predefined criteria. The Hem-Col method is suitable for the measurement of total cholesterol, LDL-cholesterol, thyroid stimulating hormone (TSH) and glycated haemoglobin (HbA1c). However, due to this limited set of valid tests and practical limitations, routine application of this novel collection system in daily practice is limited.

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来源期刊
CiteScore
3.50
自引率
4.80%
发文量
85
审稿时长
4-8 weeks
期刊介绍: The Scandinavian Journal of Clinical and Laboratory Investigation is an international scientific journal covering clinically oriented biochemical and physiological research. Since the launch of the journal in 1949, it has been a forum for international laboratory medicine, closely related to, and edited by, The Scandinavian Society for Clinical Chemistry. The journal contains peer-reviewed articles, editorials, invited reviews, and short technical notes, as well as several supplements each year. Supplements consist of monographs, and symposium and congress reports covering subjects within clinical chemistry and clinical physiology.
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