Journal article
Comparison of Enterprise Point‐of‐Care and Nova Biomedical Critical Care Xpress analyzers for determination of arterial pH, blood gas, and electrolyte values in canine and equine blood
Veterinary clinical pathology, Vol.47(3), pp.415-424
09/2018
Handle:
https://hdl.handle.net/2376/104546
PMID: 29989207
Abstract
Background
Point‐of‐care analyzers can provide a rapid turnaround time for critical blood test results. Agreement between the Enterprise Point‐of‐Care (EPOC) and bench‐top laboratory analyzers is important to determine the clinical reliability of the EPOC.
Objectives
The aim of the study was (1) to evaluate the precision (repeatability) of blood gas values measured by the EPOC and (2) to determine the level of agreement between the EPOC and Nova Critical Care Express (Nova CCX) for the assessment of arterial pH, blood gases, and electrolyte variables in canine and equine blood.
Methods
Arterial blood samples from dogs were analyzed on the EPOC and Nova CCX analyzers to determine precision and agreement of pH, PaCO2, PaO2, and HCT. The same analytes plus Na+, K−, and Cl− were analyzed for agreement using equine blood. Statistical analyses included assessment of precision using the coefficient of variation (CV%), and agreement using the Deming regression, Pearson correlation, and Bland‐Altman plots.
Results
Both analyzers provided precise results of pH, PaCO2, PaO2, and HCT, meeting CV% quality requirement values. In both species, Deming regression results were acceptable and correlation values were above 0.93 for arterial pH and blood gases, but lower for sodium and chloride. Bland‐Altman plots demonstrated varying degrees of bias, but good agreement between the 2 analyzers was seen when arterial blood gases and electrolytes were measured, except for PaCO2 and Cl−.
Conclusion
The EPOC analyzer provides consistent, reliable results for canine arterial blood gas values and for equine arterial blood gas and electrolyte values. Cl− results could be acceptable with the application of a correction factor, but the PaCO2 results were more variable.
Metrics
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Details
- Title
- Comparison of Enterprise Point‐of‐Care and Nova Biomedical Critical Care Xpress analyzers for determination of arterial pH, blood gas, and electrolyte values in canine and equine blood
- Creators
- Taher N Elmeshreghi - Washington State UniversityTamara L Grubb - Washington State UniversityStephen A Greene - Washington State UniversityClaude A Ragle - Washington State UniversityJane A Wardrop - Washington State University
- Publication Details
- Veterinary clinical pathology, Vol.47(3), pp.415-424
- Academic Unit
- Veterinary Clinical Sciences, Department of
- Number of pages
- 10
- Grant note
- Washington State University
- Identifiers
- 99900546506501842
- Language
- English
- Resource Type
- Journal article