2019, Cilt 17, Sayı 3, Sayfa(lar) 149-155 |
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Analysis of the Relationship Between Blood Gas and Serum Bicarbonate Values |
Fatıma Betül Tuncer1, Erdem Çokluk1, Mehmet Ramazan Şekeroğlu1, Fatma Özdemir2, Meltem Boz1 |
1Sakarya Üniversitesi Tıp Fakültesi, Tıbbi Biyokimya AD, Sakarya, Türkiye 2Sakarya Üniversitesi Tıp Fakültesi Eğitim Araştırma Hastanesi, Sakarya, Türkiye |
Keywords: Blood Gas Analysis; bicarbonate levels; enzymatic method |
Objective: The aim of this study is to investigate the compatibility of bicarbonate (HCO3-) levels
measured by blood gas meter in serum autoanalyser.
Materials and Methods: In the study, serum bicarbonate and blood gas bicarbonate levels of 186
patients were evaluated retrospectively in the last one year period (September 2018 - 2019). Serum
HCO3- levels were analyzed with Olympus AU5800 autoanalyser and blood HCO3- level with Radiometer
ABL800. Serum bicarbonate results were divided into three groups as 0-60, 61-120 and> 120 minutes
according to the time elapsed between sampling and delivery time.
Results: The mean difference between the two methods [blood HCO3- serum HCO3-]; for 0-60, 61-120
and 120 minutes were; 0.13 ± 7.6, 0.92 ± 7.6; 1.6 ± 5.4 mmol / L, respectively. According to the
literature, the maximum allowable error obtained from intra-individual coefficients of variability was
reported as 0.46 mmol / L. In this study, the mean difference between the two methods examined
between 0-60 minutes was less than 0.46 mmol / L; The difference between the other two groups was
greater than 0.46 mmol / L. In addition, % Bias, Total CV% and total analytical error (TAH) of levels
serum bicarbonate were found as 8.52, 10.27 and 25.47 respectively.
Conclusion: If the serum HCO3- level was measured in the time of 0-60 min, we think that the two
methods can be considered as alternatives. However, for samples that are waiting longer, evaluation of
them as an alternative may cause errors. We also believe that the TAH value of the laboratory should be
taken into consideration when evaluating serum bicarbonate level results, even if it is run under
optimum conditions.
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