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Journal of Zhejiang University SCIENCE B
ISSN 1673-1581(Print), 1862-1783(Online), Monthly
2025 Vol.26 No.2 P.158-171
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
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.
Key words: Thirteen serum biochemical indexes; Five whole blood coagulation indices; Point-of-care testing (POCT); Pulmonary and critical care medicine; Diagnostic protocol
1广州医科大学附属第一医院检验科, 广州实验室, 国家呼吸疾病临床医学中心, 国家呼吸医学中心, 呼吸疾病全国重点实验室, 广州呼吸健康研究院, 中国广州市, 510140
2广州医科大学金域检验学院, 中国广州市, 511495
3广东医科大学医学技术学院, 中国东莞市, 523121
4南方医科大学第二临床医学院, 中国广州市, 510515
摘要:生化和凝血指标的准确及时检测对呼吸及危重症患者至关重要。传统实验室检测虽可靠,但往往较为滞后。床边即时检测(POCT)已成为一种潜在的替代方法,但仍待严格验证。使用Beckman Coulter AU5821和PUSHKANG POCT生化分析仪以及Stago STAR MAX和PUSHKANG POCT凝血分析仪分别对广州医科大学附属第一医院的226份血清和350份全血样本进行包括白蛋白等十三项生化指标和凝血酶原时间等五项凝血指标进行比对检测。Bland-Altman图(MS100: 0.8206?0.9995; MC100: 0.8318?0.9911)一致性较好。Spearman相关分析显示,传统仪器和PUSHKANG POCT分析仪之间存在显著的线性相关性,且相关系数稳健(MS100: 0.713?0.949; MC100: 0.593?0.950)。PUSHKANG POCT作为一种可靠的血清、全血生化和凝血快速诊断工具,具有稳定的临床评价功能,可为呼吸与危重症临床医师在患者紧急病况时提供及时预示。
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DOI:
10.1631/jzus.B2300433
CLC number:
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On-line Access:
2025-02-26
Received:
2023-06-12
Revision Accepted:
2023-11-08
Crosschecked:
2025-02-27