J Clin Pathol Qual Control.
2000 Jun;22(1):175-180.
Mathematical Correction of Hemolysis Interference with Hemolysis Index
- Affiliations
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- 1Department of Clinical Pathology Yonsei University Wonju College of Medicine, Wonju, Korea. cpyoon@wonju.yonsei.ac.kr
Abstract
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BACKGROUND: We studied the expected hemoglobin concentration and mathematical correction with hemolysis index in determinations of aspartate aminotransferase (AST), creatine kinase (CK) and lactate dehydrogenase (LD) on which the effect of in vitro hemolysis has been known to be relatively large.
METHODS
On the Hitachi 747 hemoglobin was measured bichromatically. In hemolysis interference studies by hemolysates hemolysis index and hemoglobin were determined as well as AST, CK and LD. Obtained correction formulas were applied for hemolysed samples. Mathematically corrected values were compared with resampled values.
RESULTS
Hemoglobin concentration could be calculated as a function of hemolysis index. Corrected values were correlated better with resampled values than uncorrected values. Two % of referred serum samples had hemoglobin concentration more than 100 mg/dL.
CONCLUSIONS
Hemolysis interference in serum samples was found to be frequent and mathematical correction with hemolysis index could be helpful for AST, CK and LD.