Determination of reference ranges using medical laboratory date

In order to have reliable reference ranges and to minimize the effects of variables such as the procedure of specimen collection, geographical location, dietary habits, life style and possible errors during the performance of tests, it  is recommended that each medical laboratory establish it's...

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Main Authors: H Rahi, A Kiyani
Format: Article
Language:English
Published: Kerman University of Medical Sciences 1994-12-01
Series:Journal of Kerman University of Medical Sciences
Subjects:
Online Access:https://jkmu.kmu.ac.ir/article_38721_8b758f57c90540bbda3ca8e5c270626e.pdf
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author H Rahi
A Kiyani
author_facet H Rahi
A Kiyani
author_sort H Rahi
collection DOAJ
description In order to have reliable reference ranges and to minimize the effects of variables such as the procedure of specimen collection, geographical location, dietary habits, life style and possible errors during the performance of tests, it  is recommended that each medical laboratory establish it's own reference values. Idealy, the reference ranges Should be determined by analysis of specimens from every or, from a random sample of the individuals in the population of interest. However, in terms of time and money, it is very expensive and impracticable to examine and apply the selection criteria to the entire population and therefore a random selection of a subset of individuals is recommended. As an alternative, a number of methods have been suggested where by the test results of individuals undergoing routine analysis can be used to establish reference values. These people are a pt to forma heterogeneous sample, I.e. a mixture of two distributions, one, of healthy and one, of sick individuals. For this reason and the fact that in our country almost all clinical laboratories are using reference ranges belonging to foreign sources, a special computer program was devised to analyse the data collected at Kermanshah central laboratory. A set of reference values for routine and special biochemical tests have been derived. This includes; Glucose 55-119 mg/ dl, BUN 6-20 mg/ dl, cholesterol 138-278 mg/ dl, triglyceride 57-156 mg/ dl, creatinine 0.45-1.2 mg/ dl, uric acid 2.8-7.1 mg/ dl, total bilirubin 0.39-1.2 mg/ dl, direct bilirubin 0.18-0.23 mg/ dl, calcium 8.5-10.4 mg/ dl, phosphorus 2.5-5.6 mg/ dl, sodium 138-143 mmol/ L, potassium 3.8-4.8 mmol/L, iron 68-165 ug/ dl, Hb 10.2-16.8 G/ dl, total protein 6.6-7.1 G/ dl, SGOT 9-27U/ L, SGPT 8.26 U/ L, T 3.93-12.41 ug/ dl, T3 – Uptake 23-32℅, FTI 1.3-3.8℅mg/ dl, TSH 0.36-3.13 uIU/ ml. This results were compared with the reference ranges established by kitmanufacturers. The results of glucose, cholesterol and HB estimation have also been compared with the values calculated for a random samples selected by the health survey of Iran in Kermanshah province.
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spelling doaj.art-7a6182ea40364808bed8db47f3b833732023-07-01T05:44:22ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28431994-12-011111138721Determination of reference ranges using medical laboratory dateH Rahi0A KiyaniAssistant professorIn order to have reliable reference ranges and to minimize the effects of variables such as the procedure of specimen collection, geographical location, dietary habits, life style and possible errors during the performance of tests, it  is recommended that each medical laboratory establish it's own reference values. Idealy, the reference ranges Should be determined by analysis of specimens from every or, from a random sample of the individuals in the population of interest. However, in terms of time and money, it is very expensive and impracticable to examine and apply the selection criteria to the entire population and therefore a random selection of a subset of individuals is recommended. As an alternative, a number of methods have been suggested where by the test results of individuals undergoing routine analysis can be used to establish reference values. These people are a pt to forma heterogeneous sample, I.e. a mixture of two distributions, one, of healthy and one, of sick individuals. For this reason and the fact that in our country almost all clinical laboratories are using reference ranges belonging to foreign sources, a special computer program was devised to analyse the data collected at Kermanshah central laboratory. A set of reference values for routine and special biochemical tests have been derived. This includes; Glucose 55-119 mg/ dl, BUN 6-20 mg/ dl, cholesterol 138-278 mg/ dl, triglyceride 57-156 mg/ dl, creatinine 0.45-1.2 mg/ dl, uric acid 2.8-7.1 mg/ dl, total bilirubin 0.39-1.2 mg/ dl, direct bilirubin 0.18-0.23 mg/ dl, calcium 8.5-10.4 mg/ dl, phosphorus 2.5-5.6 mg/ dl, sodium 138-143 mmol/ L, potassium 3.8-4.8 mmol/L, iron 68-165 ug/ dl, Hb 10.2-16.8 G/ dl, total protein 6.6-7.1 G/ dl, SGOT 9-27U/ L, SGPT 8.26 U/ L, T 3.93-12.41 ug/ dl, T3 – Uptake 23-32℅, FTI 1.3-3.8℅mg/ dl, TSH 0.36-3.13 uIU/ ml. This results were compared with the reference ranges established by kitmanufacturers. The results of glucose, cholesterol and HB estimation have also been compared with the values calculated for a random samples selected by the health survey of Iran in Kermanshah province.https://jkmu.kmu.ac.ir/article_38721_8b758f57c90540bbda3ca8e5c270626e.pdfbiochemical reference rangeskermanshah
spellingShingle H Rahi
A Kiyani
Determination of reference ranges using medical laboratory date
Journal of Kerman University of Medical Sciences
biochemical reference ranges
kermanshah
title Determination of reference ranges using medical laboratory date
title_full Determination of reference ranges using medical laboratory date
title_fullStr Determination of reference ranges using medical laboratory date
title_full_unstemmed Determination of reference ranges using medical laboratory date
title_short Determination of reference ranges using medical laboratory date
title_sort determination of reference ranges using medical laboratory date
topic biochemical reference ranges
kermanshah
url https://jkmu.kmu.ac.ir/article_38721_8b758f57c90540bbda3ca8e5c270626e.pdf
work_keys_str_mv AT hrahi determinationofreferencerangesusingmedicallaboratorydate
AT akiyani determinationofreferencerangesusingmedicallaboratorydate