Comparison of point-of-care and central laboratory analyzers for blood gas and lactate measurements.

Abstract:

BACKGROUND:Blood gas analysis and blood lactate measurement have important roles in patient management. Point-of-care (POC) testing simplifies and provides rapid blood gas and lactate measurements. This study aimed to compare pH, pCO2 , pO2 , and lactate measurements between a POC device and a benchtop blood gas analyzer typically used in a hospital central laboratory, and to evaluate the inter-device variability of the POC device. METHODS:A cross-sectional study was conducted with a sample size of 100. Each sample was measured for pH, pCO2 , pO2 , and lactate using a Nova pHOx plus L® benchtop blood gas analyzer in the central laboratory and an i-STAT® handheld POC device. The results of both devices were compared using Pearson or Spearman correlation coefficients and Bland-Altman tests. Testing of the inter-device variability was done by using three different i-STAT® devices, and the results were compared statistically. RESULTS:Strong correlations were observed for all test results. In Bland-Altman analysis, ≥95% of the results were within the limits of agreement, with the exception of lactate, which had only 93%. The results that were beyond the limits were primarily lactate levels >8 mmol/L. Biases between the benchtop analyzer and the i-STAT® were not clinically significant, except pH. No significant inter-device variability was observed between the i-STAT® analyzers. CONCLUSION:This comparison study of pH, pCO2 , pO2 , and lactate measurements between Nova pHOx plus L® and i-STAT® analyzers showed good agreement. However, lactate measurement results >8 mmol/L on the i-STAT® analyzer should be interpreted with caution.

journal_name

J Clin Lab Anal

authors

Indrasari ND,Wonohutomo JP,Sukartini N

doi

10.1002/jcla.22885

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

e22885

issue

5

eissn

0887-8013

issn

1098-2825

journal_volume

33

pub_type

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