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Measurement of Plasma Free Hemoglobin Using Hemolysis Index and Bilirubin Interference
DC Field | Value | Language |
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dc.contributor.author | 이상국 | - |
dc.contributor.author | 임정훈 | - |
dc.contributor.author | 임종백 | - |
dc.contributor.author | 조용근 | - |
dc.date.accessioned | 2022-09-14T01:54:58Z | - |
dc.date.available | 2022-09-14T01:54:58Z | - |
dc.date.issued | 2021-12 | - |
dc.identifier.issn | 2384-2458 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/190668 | - |
dc.description.abstract | Plasma hemoglobin (pHb) is measured when hemolysis is suspected as a result of biochemical, immunological, and mechanical conditions. In this study, we evaluated the clinical feasibility of the hemolysis index (H-index) for pHb measurement using automated chemistry analyzers. A total of 176 plasma samples were analyzed for pHb in the Severance Hospital using a Lambda 365 UV/Vis spectrophotometer (PerkinElmer, USA) and Fairbanks method 2. The remnant samples after pHb measurement were then analyzed for total bilirubin, and H-indices were determined using the automated Atellica CH930 system (Siemens, Germany) and Cobas c702 system (Roche, USA). The equivalence and correlation among the methods were evaluated using Passing-Bablok regression analysis and Spearman’s correlation analysis. All the methods showed high correlations with each other. However, the H-indices showed a negative constant bias compared to the Fairbanks method 2. When a cut-off value of 33.2 mg/dL was applied for diagnosis of hemolysis, 13 samples were determined positive by Fairbanks method 2 but negative by H-indices. These discordant results occurred mostly among samples with total bilirubin levels higher than 3 mg/dL (12 out of 13 samples). The correlation between total bilirubin and pHb measured by Fairbanks method 2 showed the largest correlation coefficient (R =0.347) and slope. These results suggest that the pHb measured by Fairbanks method 2 is more prone to bilirubin interference. In summary, our results suggest that H-indices from both automated chemistry analyzers possess excellent clinical feasibility for pHb measurements and have minimum total bilirubin interference compared to traditional measurement via Fairbanks method 2. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한임상검사정도관리협회 | - |
dc.relation.isPartOf | Journal of Laboratory Medicine and Quality Assurance(임상검사와 정도관리) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Measurement of Plasma Free Hemoglobin Using Hemolysis Index and Bilirubin Interference | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Laboratory Medicine (진단검사의학교실) | - |
dc.contributor.googleauthor | Hanmil Jang | - |
dc.contributor.googleauthor | Yonggeun Cho | - |
dc.contributor.googleauthor | John Hoon Rim | - |
dc.contributor.googleauthor | Hyein Kang | - |
dc.contributor.googleauthor | Sang-Guk Lee | - |
dc.contributor.googleauthor | and Jong-Baeck Lim | - |
dc.identifier.doi | 10.15263/jlmqa.2021.43.4.208 | - |
dc.contributor.localId | A02810 | - |
dc.contributor.localId | A04654 | - |
dc.contributor.localId | A03403 | - |
dc.contributor.localId | A03864 | - |
dc.relation.journalcode | J01555 | - |
dc.subject.keyword | Plasma hemoglobin | - |
dc.subject.keyword | Hemolysis index | - |
dc.subject.keyword | Spectrophotometry | - |
dc.contributor.alternativeName | Lee, Sang Guk | - |
dc.contributor.affiliatedAuthor | 이상국 | - |
dc.contributor.affiliatedAuthor | 임정훈 | - |
dc.contributor.affiliatedAuthor | 임종백 | - |
dc.contributor.affiliatedAuthor | 조용근 | - |
dc.citation.volume | 43 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 208 | - |
dc.citation.endPage | 213 | - |
dc.identifier.bibliographicCitation | Journal of Laboratory Medicine and Quality Assurance (임상검사와 정도관리), Vol.43(4) : 208-213, 2021-12 | - |
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