Evaluation of Venous and Arterial Biochemical Factors Values in the Intensive Care unit Patients
Background and purpose: Patients admitted at the intensive care unit (ICU) need blood draws for chemistry analytes and arterial blood gas (ABG) analysis. Repeated blood drawing is one of the most common causes of anemia in these group of patients. Measurement of analytes only by ABG analyzer can be...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2023-11-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-19522-en.pdf |
| _version_ | 1797428985818251264 |
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| author | Parviz Amri Sarvin Seyfi shahram Seyfi Hoda Shirafkan |
| author_facet | Parviz Amri Sarvin Seyfi shahram Seyfi Hoda Shirafkan |
| author_sort | Parviz Amri |
| collection | DOAJ |
| description | Background and purpose: Patients admitted at the intensive care unit (ICU) need blood draws for chemistry analytes and arterial blood gas (ABG) analysis. Repeated blood drawing is one of the most common causes of anemia in these group of patients. Measurement of analytes only by ABG analyzer can be beneficial for preventing anemia. The aim of this study was to compare the biochemical analytes in venous and ABG samples in ICU patients.
Materials and methods: This cross-sectional study was performed in 223 patients hospitalized in the ICU. These patients undergoing ABG analysis and simultaneous venous sampling. The value of Ca, Na, K, Hct, and glucose were measured in venous samples with a laboratory auto-analyzer and in arterial samples with an ABG analyzer.
Results: The mean age of patients was 61.14±16.96 years. The mean difference between ABG and serum samples was 1.12 mEq/L for sodium, -0.29 mEq/L for potassium, -0.98 mg/dl for calcium, 0.33 mg/dl for glucose, and 4.39%% for hematocrit. In addition, 95% limit of agreement was -12.3 to 9 for sodium, -0.7 to 1.29 for potassium, -1.31 to 3.8 for calcium, -39.13 to 40.32 for glucose, and -13.5 to 8.5 for hematocrit.
Conclusion: Because of acceptable agreement for sodium, potassium, and hematocrit, ABG analyzer can be used in ICU patients and emergency situations. There is a remarkable bias between the ABG-measured and laboratory-measured calcium and glucose, so the calcium and glucose measurement by the ABG analyzer are not reliable. |
| first_indexed | 2024-03-09T09:06:26Z |
| format | Article |
| id | doaj.art-ccd40807e29541a1ab565b788cb6b4c6 |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-03-09T09:06:26Z |
| publishDate | 2023-11-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-ccd40807e29541a1ab565b788cb6b4c62023-12-02T10:14:03ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792023-11-0133227170179Evaluation of Venous and Arterial Biochemical Factors Values in the Intensive Care unit PatientsParviz Amri0Sarvin Seyfi1shahram Seyfi2Hoda Shirafkan3 Professor, Department of Anesthesiology, Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran Medical Student, Student Research Committee, Babol University of Medical Sciences, Babol, Iran Assistant Professor, Department of Anesthesiology, Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran Assistant Professor, Department of Biostatistics, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Background and purpose: Patients admitted at the intensive care unit (ICU) need blood draws for chemistry analytes and arterial blood gas (ABG) analysis. Repeated blood drawing is one of the most common causes of anemia in these group of patients. Measurement of analytes only by ABG analyzer can be beneficial for preventing anemia. The aim of this study was to compare the biochemical analytes in venous and ABG samples in ICU patients. Materials and methods: This cross-sectional study was performed in 223 patients hospitalized in the ICU. These patients undergoing ABG analysis and simultaneous venous sampling. The value of Ca, Na, K, Hct, and glucose were measured in venous samples with a laboratory auto-analyzer and in arterial samples with an ABG analyzer. Results: The mean age of patients was 61.14±16.96 years. The mean difference between ABG and serum samples was 1.12 mEq/L for sodium, -0.29 mEq/L for potassium, -0.98 mg/dl for calcium, 0.33 mg/dl for glucose, and 4.39%% for hematocrit. In addition, 95% limit of agreement was -12.3 to 9 for sodium, -0.7 to 1.29 for potassium, -1.31 to 3.8 for calcium, -39.13 to 40.32 for glucose, and -13.5 to 8.5 for hematocrit. Conclusion: Because of acceptable agreement for sodium, potassium, and hematocrit, ABG analyzer can be used in ICU patients and emergency situations. There is a remarkable bias between the ABG-measured and laboratory-measured calcium and glucose, so the calcium and glucose measurement by the ABG analyzer are not reliable.http://jmums.mazums.ac.ir/article-1-19522-en.pdfarterial bloodcalciumglucosehematocritpotassiumsodiumvenous blood |
| spellingShingle | Parviz Amri Sarvin Seyfi shahram Seyfi Hoda Shirafkan Evaluation of Venous and Arterial Biochemical Factors Values in the Intensive Care unit Patients Journal of Mazandaran University of Medical Sciences arterial blood calcium glucose hematocrit potassium sodium venous blood |
| title | Evaluation of Venous and Arterial Biochemical Factors Values in the Intensive Care unit Patients |
| title_full | Evaluation of Venous and Arterial Biochemical Factors Values in the Intensive Care unit Patients |
| title_fullStr | Evaluation of Venous and Arterial Biochemical Factors Values in the Intensive Care unit Patients |
| title_full_unstemmed | Evaluation of Venous and Arterial Biochemical Factors Values in the Intensive Care unit Patients |
| title_short | Evaluation of Venous and Arterial Biochemical Factors Values in the Intensive Care unit Patients |
| title_sort | evaluation of venous and arterial biochemical factors values in the intensive care unit patients |
| topic | arterial blood calcium glucose hematocrit potassium sodium venous blood |
| url | http://jmums.mazums.ac.ir/article-1-19522-en.pdf |
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