Using Capillary Whole Blood to Quantitatively Measure Ferritin: A Validation Trial of a Point-of-Care System

Iron deficiency is a public health problem with devastating health, developmental and behavioral effects which often exacerbated due to affordability and access to screening and diagnosis. Using <i>IronScan</i>™ a portable, point-of-care diagnostic system capable of quantitatively measur...

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Bibliographic Details
Main Authors: Joanna L. Fiddler, Michael I. McBurney, Jere D. Haas
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/6/1305
Description
Summary:Iron deficiency is a public health problem with devastating health, developmental and behavioral effects which often exacerbated due to affordability and access to screening and diagnosis. Using <i>IronScan</i>™ a portable, point-of-care diagnostic system capable of quantitatively measuring ferritin in blood, we validated <i>IronScan™</i> ferritin measurements using whole blood and serum with a lab-based, regulator-approved analytical device for measuring ferritin in venous serum. Capillary (finger stick) and venous whole blood samples were obtained from 44 male and female volunteers. Venous serum (vSer) ferritin concentrations were measured on Immulite 2000 Xpi (gold standard). Capillary whole blood (cWB), venous whole blood (vWB), and vSer ferritin levels were measured by <i>IronScan™</i>. cWB ferritin concentrations from <i>IronScan™</i> were significantly correlated (R<sup>2</sup> = 0.86) with vSer measured with the FDA-approved Immulite system. The results from the multiple regression analysis indicate that 10% of the variability was due to the method of blood collection (venous vs. capillary) and 6% was due to the form of blood analysis (whole blood vs. serum). The sensitivity of diagnosing iron deficiency using the WHO cutoff of <30 ng/mL is 90%, with a specificity of 96%. In conclusion, <i>IronScan™</i> is a rapid viable option for measuring ferritin as a point-of-care system.
ISSN:2072-6643