Evidence map›Paper›PMID 36902727›Full record

ArticleJournal of clinical medicine2023

Evaluation of the Accuracy of Cr and BUN Using the ABL90 FLEX PLUS Blood Gas Analyzer and the Equivalence of Candidate Specimens for Assessment of Renal Function.

Ha-Jin Lim, Seung-Yeob Lee, Hyun-Jung Choi

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Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Ha-Jin LimDepartment of Laboratory Medicine, Chonnam National University Medical School and Hospital, Gwangju 61469, Republic of Korea.ORCID 0000-0003-2436-5007
Seung-Yeob LeeDepartment of Laboratory Medicine, Jeonbuk National University Medical School and Hospital, Jeonju 54907, Republic of Korea.
Hyun-Jung ChoiDepartment of Laboratory Medicine, Chonnam National University Medical School and Hospital, Gwangju 61469, Republic of Korea.ORCID 0000-0003-2901-5962

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ABL90 FLEX PLUS (Radiometer) is a blood gas analyzer that also provides creatinine (Cr) and blood urea nitrogen (BUN) results. We assessed the accuracy of the ABL90 FLEX PLUS to measure Cr and BUN and find suitable candidate specimens against primary specimens (heparinized whole-blood (H-WB)).

methodsPaired H-WB, serum, and sodium-citrated whole-blood (C-WB) samples (105) were collected. The Cr and BUN levels in the H-WB using the ABL90 FLEX PLUS were compared with those of the serum using four automated chemistry analyzers. The suitability of the candidate specimens was assessed at each medical decision level according to the CLSI guideline EP35-ED1.

resultsThe respective mean differences of the ABL90 FLEX PLUS for the Cr and BUN were below -0.10 and -3.51 mg/dL compared to the other analyzers. The systematic differences between the serum and the H-WB at the low, medium, and high medical decision levels were all 0% for Cr, but those of the C-WB were -12.96%, -11.81%, and -11.30%, respectively. Regarding imprecision, the SD

conclusionsThe ABL90 FLEX PLUS provided Cr and BUN results comparable with the four widely used analyzers. Among the candidates, the serum was suitable for Cr testing using the ABL90 FLEX PLUS, while the C-WB did not satisfy the acceptance criteria.

Indexed as

blood urea nitrogencreatininekidney disease

Identifiers

PMID36902727
PMCPMC10003958

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