在重症患者中,护理点肌与中央实验室肌的比较
Kyle C White1,2,3, James McCullough4,5, Kiran Shekar2,3,6
1Intensive Care Unit, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
概括
治疗点检测 (POCT) 的肌素测量相当于重症患者的中央实验室检测. 这允许更频繁的功能监测和更早的急性损伤检测.
科学领域:
- 临床化学 临床化学
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 频繁的肌素监测有助于在重症患者中早期检测急性损伤 (AKI).
- 照顾点测试 (POCT) 与中央实验室肌素测量的等价性需要可靠的数据.
研究的目的:
- 将POCT肌素测量与中央实验室肌素测量进行比较.
- 在重症患者中评估POCT与肌素的临床等价性.
主要方法:
- 多中心回顾性观察性研究.
- 19,118名重症患者的双对肌素测量 (POCT与中央实验室对比).
- 分析平均差异,偏差和共识极限.
主要成果:
- 分析了79767个对的测量结果.
- POCT肌素值与中央实验室值 (皮尔森系数0.99) 密切相关.
- 平均差异是微小的 (0.49μmol/L) 与广泛但临床上可接受的协议界限 (-27至+28μmol/L).
结论:
- 在临床上,POCT肌素测量相当于重症患者的中央实验室检测.
- POCT有助于频繁监测功能.
- 支持使用POCT.早期检测AKI.
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