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High levels of hemolysis do not affect measurement of PAPP-A, β-HCG and TRAb on BRAHMS KRYPTOR compact plus
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Clinical Chemistry, Division of Laboratory Medicine.ORCID iD: 0000-0001-8458-6448
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Clinical Chemistry, Division of Laboratory Medicine.ORCID iD: 0009-0003-1728-8661
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Clinical Chemistry, Division of Laboratory Medicine.ORCID iD: 0000-0002-4256-6008
2023 (English)In: Scandinavian Journal of Clinical and Laboratory Investigation, ISSN 0036-5513, E-ISSN 1502-7686, Vol. 83, no 6, p. 367-370Article in journal (Refereed) Published
Abstract [en]

To assess the impact of high levels of hemolysis on the laboratory results for free β-hCG, PAPP-A, and TRAb performed on the B·R·A·H·M·S KRYPTOR Compact PLUS. Adapted from the CLSI guidelines EP07-A2, paired difference testing was performed on serum samples from the routine laboratory workflow. Three sample pools for each assessed analyte was prepared and subjected to increased levels of added hemolysate. For β-hCG and PAPP-A, the relative difference in the measured analyte concentration between the sample with 0 g/L added Hb and the samples with increasing free Hb concentrations (up to 6 g/L), was well below the pre-set acceptance criterion of 10% at all levels. The TRAb results showed greater variation than the other analytes, likely a consequence of imprecision rather than hemolysis. Hemolysis has a negligible effect on the analysis results of free beta-hCG, PAPP-A and TRAb measured on the B·R·A·H·M·S KRYPTOR Compact PLUS.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 83, no 6, p. 367-370
Keywords [en]
Chorionic gonadotropin, TSH receptor antibody, beta subunit, fluoroimmunoassay, hemolysis, human, pregnancy-associated plasma protein-A
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:oru:diva-107472DOI: 10.1080/00365513.2023.2233886ISI: 001029248700001PubMedID: 37458499Scopus ID: 2-s2.0-85165243868OAI: oai:DiVA.org:oru-107472DiVA, id: diva2:1786631
Available from: 2023-08-09 Created: 2023-08-09 Last updated: 2023-12-08Bibliographically approved

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Pettersson-Pablo, PaulAneskans, CeciliaVink, Martin

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