Point-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room

Aim: Although the levels of cardiac troponin I (cTnI) have proved to be a useful diagnostic biomarker of acute myocardial infarction, there are a wide variety of point-of-care (POC) analysers, which provide measurements of cTnI. The aim of this study was to compare the results obtained by the ADVIA...

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Autores principales:	Joško Osredkar, Katja Krivic, Teja Fabjan, Kristina Kumer, Jure Tršan, Laura Poljančič, Petra Finderle, Hugon Možina
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ef5fc5f2ea124e648a78b4ad7d5ea026
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spelling	oai:doaj.org-article:ef5fc5f2ea124e648a78b4ad7d5ea0262021-11-24T12:03:21ZPoint-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room2399-202610.1177/23992026211055095https://doaj.org/article/ef5fc5f2ea124e648a78b4ad7d5ea0262021-10-01T00:00:00Zhttps://doi.org/10.1177/23992026211055095https://doaj.org/toc/2399-2026Aim: Although the levels of cardiac troponin I (cTnI) have proved to be a useful diagnostic biomarker of acute myocardial infarction, there are a wide variety of point-of-care (POC) analysers, which provide measurements of cTnI. The aim of this study was to compare the results obtained by the ADVIA Centaur ultra-assay cTnI assay (us-cTnI), ADVIA Centaur high-sensitive cTnI assay (hs-cTnI) and a POC high-sensitivity assay using PATHFAST. We also aimed to explore total turnaround time (TAT) for laboratory results using the POC PATHFAST analyser. Methods: Samples from 161 patients were taken. Of these samples, 129 were tested with all three assays (us-cTnI, hs-cTnI and PATHFAST), and 32 samples were tested on PATHFAST for the comparison of whole blood, serum and plasma. Results: Comparison of the POC testing methods in this study demonstrated that there are strong linear relationships between all three cTnI assays (us-cTnI, hs-cTnI and POC on PATHFAST). Furthermore, we also show there are strong linear relationships between the two high-sensitive cTnI assays (hs-cTnI and PATHFAST) for blood serum samples, as determined by Passing–Bablok regression analyses. In our comparison of our new data with our older study, the TAT went down. Conclusion: The timeliness of laboratory results is, in addition to accuracy and precision, one of the key indicators of laboratory performance, and at the same time has a significant impact on the course of the patient’s condition. It is therefore important that the laboratory strives to meet the expectations of clinicians regarding the time from the order to the result of the analysis.Joško OsredkarKatja KrivicTeja FabjanKristina KumerJure TršanLaura PoljančičPetra FinderleHugon MožinaSAGE PublishingarticleMedicine (General)R5-920ENMedicine Access @ Point of Care, Vol 5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Joško Osredkar Katja Krivic Teja Fabjan Kristina Kumer Jure Tršan Laura Poljančič Petra Finderle Hugon Možina Point-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room
description	Aim: Although the levels of cardiac troponin I (cTnI) have proved to be a useful diagnostic biomarker of acute myocardial infarction, there are a wide variety of point-of-care (POC) analysers, which provide measurements of cTnI. The aim of this study was to compare the results obtained by the ADVIA Centaur ultra-assay cTnI assay (us-cTnI), ADVIA Centaur high-sensitive cTnI assay (hs-cTnI) and a POC high-sensitivity assay using PATHFAST. We also aimed to explore total turnaround time (TAT) for laboratory results using the POC PATHFAST analyser. Methods: Samples from 161 patients were taken. Of these samples, 129 were tested with all three assays (us-cTnI, hs-cTnI and PATHFAST), and 32 samples were tested on PATHFAST for the comparison of whole blood, serum and plasma. Results: Comparison of the POC testing methods in this study demonstrated that there are strong linear relationships between all three cTnI assays (us-cTnI, hs-cTnI and POC on PATHFAST). Furthermore, we also show there are strong linear relationships between the two high-sensitive cTnI assays (hs-cTnI and PATHFAST) for blood serum samples, as determined by Passing–Bablok regression analyses. In our comparison of our new data with our older study, the TAT went down. Conclusion: The timeliness of laboratory results is, in addition to accuracy and precision, one of the key indicators of laboratory performance, and at the same time has a significant impact on the course of the patient’s condition. It is therefore important that the laboratory strives to meet the expectations of clinicians regarding the time from the order to the result of the analysis.
format	article
author	Joško Osredkar Katja Krivic Teja Fabjan Kristina Kumer Jure Tršan Laura Poljančič Petra Finderle Hugon Možina
author_facet	Joško Osredkar Katja Krivic Teja Fabjan Kristina Kumer Jure Tršan Laura Poljančič Petra Finderle Hugon Možina
author_sort	Joško Osredkar
title	Point-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room
title_short	Point-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room
title_full	Point-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room
title_fullStr	Point-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room
title_full_unstemmed	Point-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room
title_sort	point-of-care high-sensitivity assay on pathfast as the backup in the emergency room
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/ef5fc5f2ea124e648a78b4ad7d5ea026
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Point-of-care high-sensitivity assay on PATHFAST as the backup in the emergency room

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