Comparative Study of Blood Hemoglobin between Calculated Method through ABG Analyzer and Impedance Method through Fully Automated Blood Cell Counter

Background: In routine clinical laboratory practice, hemoglobin estimation is done through an automated blood cell counter, which is a fast, inexpensive and convenient method of estimation. In contrast to these conventional laboratory procedures, hemoglobin is one of the calculated parameters in the...

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Main Authors: Arvi V Mehta, Sapna P Patel, Hina B Baraiya, Piyush B Tailor
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2025-05-01
Series:Indian Journal of Medical Biochemistry
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Online Access:https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0263
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author Arvi V Mehta
Sapna P Patel
Hina B Baraiya
Piyush B Tailor
author_facet Arvi V Mehta
Sapna P Patel
Hina B Baraiya
Piyush B Tailor
author_sort Arvi V Mehta
collection DOAJ
description Background: In routine clinical laboratory practice, hemoglobin estimation is done through an automated blood cell counter, which is a fast, inexpensive and convenient method of estimation. In contrast to these conventional laboratory procedures, hemoglobin is one of the calculated parameters in the arterial blood gas (ABG) analyzer in emergency and intensive care units. As per ISO 15189 and National Accreditation Board for Testing and Calibration Laboratories (NABL-112) guideline, it is necessary to compare and justify the result of the parameters when it is done through multiple instruments or multiple methods. Materials and methods: A total of 100 samples of ABG analysis were collected and hemoglobin estimation was done from Siemens RAPID point 500e ABG analyzer by co-oximetry method and HORIBA fully automated blood cell counter by electric impedance method. Data was collected and analyzed by Bland-Altman plot and linear regression graph using Microsoft Excel. Results: After analyzing the data, we concluded that Siemens RAPID point 500e ABG analyzer gives 14.77% higher result of hemoglobin in compared to HORIBA fully automated blood cell counter. Conclusion: The laboratory has derived its own corrective factor to make the result of hemoglobin comparable for both instruments and methods by using slope and intercept derived from linear regression graph.
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spelling doaj-art-a8bd05d378b549beb4cfc5df60961f062025-08-20T03:41:31ZengJaypee Brothers Medical PublisherIndian Journal of Medical Biochemistry0972-12072456-51642025-05-0129213814010.5005/jp-journals-10054-026314Comparative Study of Blood Hemoglobin between Calculated Method through ABG Analyzer and Impedance Method through Fully Automated Blood Cell CounterArvi V Mehta0https://orcid.org/0009-0008-6892-8450Sapna P Patel1https://orcid.org/0000-0001-6059-1656Hina B Baraiya2https://orcid.org/0000-0002-7347-8633Piyush B Tailor3https://orcid.org/0009-0001-4922-8909Department of Biochemistry, Government Medical College, Bhavnagar, Gujarat, IndiaSapna P Patel, Department of Biochemistry, Government Medical College, Bhavnagar, Gujarat, India, Phone: +91 9974603684Department of Biochemistry, Government Medical College, Bhavnagar, Gujarat, IndiaDepartment of Biochemistry, Government Medical College, Bhavnagar, Gujarat, IndiaBackground: In routine clinical laboratory practice, hemoglobin estimation is done through an automated blood cell counter, which is a fast, inexpensive and convenient method of estimation. In contrast to these conventional laboratory procedures, hemoglobin is one of the calculated parameters in the arterial blood gas (ABG) analyzer in emergency and intensive care units. As per ISO 15189 and National Accreditation Board for Testing and Calibration Laboratories (NABL-112) guideline, it is necessary to compare and justify the result of the parameters when it is done through multiple instruments or multiple methods. Materials and methods: A total of 100 samples of ABG analysis were collected and hemoglobin estimation was done from Siemens RAPID point 500e ABG analyzer by co-oximetry method and HORIBA fully automated blood cell counter by electric impedance method. Data was collected and analyzed by Bland-Altman plot and linear regression graph using Microsoft Excel. Results: After analyzing the data, we concluded that Siemens RAPID point 500e ABG analyzer gives 14.77% higher result of hemoglobin in compared to HORIBA fully automated blood cell counter. Conclusion: The laboratory has derived its own corrective factor to make the result of hemoglobin comparable for both instruments and methods by using slope and intercept derived from linear regression graph.https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0263biascorrective factorhemoglobininterceptslopetotal allowable error
spellingShingle Arvi V Mehta
Sapna P Patel
Hina B Baraiya
Piyush B Tailor
Comparative Study of Blood Hemoglobin between Calculated Method through ABG Analyzer and Impedance Method through Fully Automated Blood Cell Counter
Indian Journal of Medical Biochemistry
bias
corrective factor
hemoglobin
intercept
slope
total allowable error
title Comparative Study of Blood Hemoglobin between Calculated Method through ABG Analyzer and Impedance Method through Fully Automated Blood Cell Counter
title_full Comparative Study of Blood Hemoglobin between Calculated Method through ABG Analyzer and Impedance Method through Fully Automated Blood Cell Counter
title_fullStr Comparative Study of Blood Hemoglobin between Calculated Method through ABG Analyzer and Impedance Method through Fully Automated Blood Cell Counter
title_full_unstemmed Comparative Study of Blood Hemoglobin between Calculated Method through ABG Analyzer and Impedance Method through Fully Automated Blood Cell Counter
title_short Comparative Study of Blood Hemoglobin between Calculated Method through ABG Analyzer and Impedance Method through Fully Automated Blood Cell Counter
title_sort comparative study of blood hemoglobin between calculated method through abg analyzer and impedance method through fully automated blood cell counter
topic bias
corrective factor
hemoglobin
intercept
slope
total allowable error
url https://www.ijmb.in/doi/IJMB/pdf/10.5005/jp-journals-10054-0263
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