参考区间模型的层次结构:进步实验室数据解释
Thomas Streichert1, Mustafa Özçürümez2, Jasmin Weninger2
1Faculty of Medicine, Institute for Clinical Chemistry, University of Cologne, Cologne, Germany.
Clinical chemistry and laboratory medicine
|October 28, 2025
概括
为实验室数据选择适当的参考间隔对于临床决策至关重要. 本文提出了一个层次框架,根据可靠性对 RI 模型进行排名,个性化 RI 处于顶部.
科学领域:
- 临床实验室科学 临床实验室科学
- 医疗信息学 医疗信息学
- 生物统计学 生物统计学
背景情况:
- 准确解释实验室数据对于临床决策至关重要.
- 对参考区间 (RIs) 的不同来源和统计方法导致单个测量和测量的多个RI.
- 由于缺乏标准化,选择最合适的RI是具有挑战性的.
研究的目的:
- 开发一种系统的方法来构建已知的RI模型.
- 讨论各种RI模型的优缺点.
- 为选择最适合临床实践的RI提供一个框架.
主要方法:
- 构建了一个层次的金字塔,以视觉地表示RI模型的可靠性.
- 在RI估计中使用的分析数据源和统计方法.
- 根据其可靠性和适用性评估了不同的RI模型.
主要成果:
- 开发了一个等级金字塔模型,将不太可靠的RI放在底部,更可靠的RI放在顶部.
- 从医院/实验室数据中得出的独立基于人口的RI在理论上是最不可靠的.
- 多变量连续个性化RI在理论上是最可靠的.
结论:
- 需要一个系统的框架来应对RI选择的复杂性.
- 根据其导出方法和数据源,RI的可靠性有很大差异.
- 个性化RI为例行临床实践提供了理论上优越的方法.
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