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CALIPER Hematology Reference Standards (II).

Victoria Higgins1,2, Houman Tahmasebi1, Mary Kathryn Bohn1,2

  • 1CALIPER Program, Pediatric Laboratory Medicine, The Hospital for Sick Children, Toronto, Canada.

American Journal of Clinical Pathology
|June 12, 2020
PubMed
Summary
This summary is machine-generated.

This study established age- and sex-specific reference intervals for hematologic parameters in healthy children and adolescents. These pediatric-specific reference standards are crucial for accurate interpretation of blood test results in growing individuals.

Keywords:
Beckman CoulterCALIPERHematologyPediatricReference intervals

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Area of Science:

  • Pediatric Hematology
  • Clinical Chemistry
  • Biostatistics

Background:

  • Accurate interpretation of hematologic parameters in children requires age- and sex-specific reference intervals.
  • Existing reference ranges may not adequately reflect physiological changes during growth and development.

Purpose of the Study:

  • To establish comprehensive age- and sex-specific reference intervals for 27 hematologic parameters in the CALIPER cohort of healthy children and adolescents.
  • To provide a robust pediatric hematology reference database for improved clinical interpretation.

Main Methods:

  • Analysis of 27 hematologic parameters in 536 healthy children and adolescents (birth to 21 years) using the Beckman Coulter DxH 520 system.
  • Establishment of age- and sex-specific pediatric reference standards.
  • Comparison of results with data from a larger laboratory instrument (DxH 900).

Main Results:

  • Most hematologic parameters exhibited significant age- and/or sex-specific variations.
  • Age partitioning was necessary for all but four parameters.
  • Sex partitioning was required for eight parameters.

Conclusions:

  • This study provides a robust pediatric hematology reference database.
  • Significant variations in hematologic parameters necessitate the use of pediatric-specific reference standards for accurate interpretation in children and adolescents.