Evaluation of Elecsys free triiodothyronine assay: relevance of age-related reference ranges.

Abstract:

OBJECTIVE:This study aimed at evaluating Elecsys free triiodothyronine (FT3) assay performed on an Elecsys 2010 system, while paying special attention to age relationship in euthyroid subjects. DESIGN AND METHODS:FT3 levels were measured in 149 euthyroid control subjects aged between 2 and 92 years old, 33 hyperthyroid and particular euthyroid patients: female in the last 3 months of pregnancy (n = 30), nonthyroidal ill hospitalized in medical (NTlm, n = 31), or intensive care units (NTlc, n = 31) and amiodarone-treated (n = 27). RESULTS:FT3 was inversely related to age in controls (r = -0.67). Three reference ranges were used: below 20 years 4.5-9.0 pmol/L, between 20 and 60 years 3.9-7.2, and over 60 years 2.4-6.5. Compared to age-matched controls, FT3 decreased in pregnancy, NTlm, NTlc, and amiodarone groups. Use of age-related reference ranges improved the specificity markedly in amiodarone patients and to a lesser extent in NTlm and TClc patients. CONCLUSIONS:The reliability of the Elecsys FT3 assay was found to be satisfactory for clinical use, when the age of patients was taken into account.

journal_name

Clin Biochem

journal_title

Clinical biochemistry

authors

Sapin R,Schlienger JL,Goichot B,Gasser F,Grucker D

doi

10.1016/s0009-9120(98)00024-1

subject

Has Abstract

pub_date

1998-07-01 00:00:00

pages

399-404

issue

5

eissn

0009-9120

issn

1873-2933

pii

S0009912098000241

journal_volume

31

pub_type

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