본문 바로가기
KERD
논문KCI 등재

Performance evaluation of Barozen Lipid Plus for point-of-care testing of lipid profiles: a method comparison study

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류의학일반

초록

Background: The quick and easy nature of point-of-care (POC) testing devices allows regular monitoring of serum lipid levels to increase efficiency. The purpose of this study was to assess a POC lipid analyzer, Barozen Lipid Plus (MICO Biomed Co., Ltd.), which uses capillary blood to measure total cholesterol (TC), triglycerides (TGs), and high-density lipoprotein cholesterol (HDL-C). Methods: Capillary and venous blood samples were collected from 110 participants at a single center in Korea between June 10 and June 26, 2021. TC, TG, and HDL-C measurements using Barozen Lipid Plus were compared with measurements using our reference device, the Roche-Hitachi Cobas 8000 c702 (Hitachi High-Technologies Corporation). This study followed the guidelines of the Clinical and Laboratory Standards Institute and the Clinical Laboratory Improvement Amendments. We surveyed participants regarding the convenience of the POC device using a questionnaire following the completion of blood collection. Results: When compared to the reference equipment, the measurements obtained using Barozen Lipid Plus were more than 95% satisfactory within TC±10%, TG±25%, and HDL-C±30%. The coefficient of variation in the repeatability testing was within 5% for TC, 5% for TGs, and 7% for HDL-C. The survey results indicated high levels of satisfaction. No adverse events were reported. Conclusion: These findings suggest that Barozen Lipid Plus is reliable for measuring lipid profiles and can therefore be used to monitor lipid levels at the time and place of patient care.

Abstract

Background: The quick and easy nature of point-of-care (POC) testing devices allows regular monitoring of serum lipid levels to increase efficiency. The purpose of this study was to assess a POC lipid analyzer, Barozen Lipid Plus (MICO Biomed Co., Ltd.), which uses capillary blood to measure total cholesterol (TC), triglycerides (TGs), and high-density lipoprotein cholesterol (HDL-C). Methods: Capillary and venous blood samples were collected from 110 participants at a single center in Korea between June 10 and June 26, 2021. TC, TG, and HDL-C measurements using Barozen Lipid Plus were compared with measurements using our reference device, the Roche-Hitachi Cobas 8000 c702 (Hitachi High-Technologies Corporation). This study followed the guidelines of the Clinical and Laboratory Standards Institute and the Clinical Laboratory Improvement Amendments. We surveyed participants regarding the convenience of the POC device using a questionnaire following the completion of blood collection. Results: When compared to the reference equipment, the measurements obtained using Barozen Lipid Plus were more than 95% satisfactory within TC±10%, TG±25%, and HDL-C±30%. The coefficient of variation in the repeatability testing was within 5% for TC, 5% for TGs, and 7% for HDL-C. The survey results indicated high levels of satisfaction. No adverse events were reported. Conclusion: These findings suggest that Barozen Lipid Plus is reliable for measuring lipid profiles and can therefore be used to monitor lipid levels at the time and place of patient care.

참고문헌 (37)

  1. Durrington P, "Dyslipidaemia", Lancet, 362, pp.717~731 (2003)
  2. "The global health observatory: raised cholesterol" (2008)[URL]
  3. Olesen SS, "Hypertriglyceridemia is often under recognized as an aetiologic risk factor for acute pancreatitis : a population-based cohort study", Pancreatology, 21, pp.334~341 (2021)
  4. Ingelsson E, "Clinical utility of different lipid measures for prediction of coronary heart disease in men and women", JAMA, 298, pp.776~785 (2007)
  5. Emerging Risk Factors Collaboration, "Major lipids, apolipoproteins, and risk of vascular disease", JAMA, 302, pp.1993~2000 (2009)
  6. "Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1)" (2020)[URL]
  7. Arnett DK, "2019 ACC", AHA guideline on the primary prevention of cardiovascular disease : a report of the American College of Cardiology, Circulation, pp.2019, 140[DOI]
  8. Grundy SM, "2018 AHA", ACC, AAPA, pp.ABC, ACPM[DOI]
  9. Clinical and Laboratory Standards Institute (CLSI), "EP09: Measurement procedure comparison and bias estimation using patient samples" (2018), CLSI
  10. International Organization for Standardization (ISO), "ISO 17511:2020 In vitro diagnostic medical devices: requirements for establishing metrological traceability of values assigned to calibrators, trueness control materials and human samples" (2020), ISO
  11. 김소영, "Roche-Hitachi cobas 8000 c702 자동화학분석기의 성능 평가", Laboratory Medicine Online, 4(3), pp.132~139 (2014), 대한진단검사의학회
  12. Clinical and Laboratory Standards Institute (CLSI), "EP05-A3: Evaluation of precision of quantitative measurement procedures" (2014), CLSI
  13. Clinical and Laboratory Standards Institute (CLSI), "EP09-A3: Measurement procedure comparison and bias estimation using patient samples; approved guideline" (2013), CLSI
  14. Clinical and Laboratory Standards Institute (CLSI), "EP07: Interference testing in clinical chemistry" (2018), CLSI
  15. Ference BA, "Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Panel", Eur Heart J, 38, pp.2459~2472 (2017)
  16. Ference BA, "Association of triglyceride-lowering LPL variants and LDL-C-lowering LDLR variants with risk of coronary heart disease", JAMA, 321, pp.364~373 (2019)
  17. Emerging Risk Factors Collaboration, "Lipid-related markers and cardiovascular disease prediction", JAMA, 307, pp.2499~2506 (2012)
  18. Andrews J, "Effect of serial infusions of reconstituted high-density lipoprotein(CER-001)on coronary atherosclerosis : rationale and design of the CARAT study", Cardiovasc Diagn Ther, 7, pp.45~51 (2017)
  19. Mach F, "2019 ESC", EAS Guidelines for the management of dyslipidaemias : lipid modification to reduce cardiovascular risk, 2020, pp.41, 111~188
  20. Grundy SM, "2018 AHA", ACC, AAPA, pp.ABC, ACPM[DOI]
  21. JBS3 Board, "Joint British Societies’ consensus recommendations for the prevention of cardiovascular disease(JBS3)", Heart, 100(Suppl 2), pp.ii1~67 (2014)
  22. Triglyceride Coronary Disease Genetics Consortium and Emerging Risk Factors Collaboration, "Triglyceride-mediated pathways and coronary disease : collaborative analysis of 101 studies", Lancet, 375, pp.1634~1639 (2010)
  23. Lindkvist B, "A prospective cohort study on risk of acute pancreatitis related to serum triglycerides, cholesterol and fasting glucose", Pancreatology, 12, pp.317~324 (2012)
  24. Glasziou PP, "Which lipid measurement should we monitor? An analysis of the LIPID study", BMJ Open, 4, pp.e003512~ (2014)
  25. Bolodeoku J, "Self-monitoring blood cholesterol(SMBC)testing : within-person day to day variation in a healthy volunteer", Med Res Archives, 5(9) (2017)
  26. Price CP, "Point of care testing", BMJ, 322, pp.1285~1288 (2001)
  27. Price CP, "Delivering clinical outcomes", Point Care, 2, pp.151~157 (2003)
  28. Gialamas A, "Does point-of-care testing lead to the same or better adherence to medication? A randomised controlled trial: the PoCT in General Practice Trial", Med J Aust, 191, pp.487~491 (2009)
  29. Cohen J, "Near-patient testing for serum cholesterol : attitudes of general practitioners and patients, appropriateness, and costs", Med J Aust, 168, pp.605~609 (1998)
  30. Nordestgaard BG, "Fasting is not routinely required for determination of a lipid profile : clinical and laboratory implications including flagging at desirable concentration cut-points-a joint consensus statement from the European Atherosclerosis Society and European Federation of Clinical Chemistry and Laboratory Medicine", Eur Heart J, 37, pp.1944~1958 (2016)
  31. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), "Third Report of the National Cholesterol Education Program(NCEP)Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults(Adult Treatment Panel III)final report", Circulation, 106, pp.3143~3421 (2002)
  32. Martin SS, "Friedewald-estimated versus directly measured low-density lipoprotein cholesterol and treatment implications", J Am Coll Cardiol, 62, pp.732~739 (2013)
  33. Jialal I, "Underestimation of low density lipoprotein-cholesterol with the friedewald equation versus a direct homogenous low density lipoprotein-cholesterol assay", Lab Med, 48, pp.220~224 (2017)
  34. Mora S, "Comparison of LDL cholesterol concentrations by Friedewald calculation and direct measurement in relation to cardiovascular events in 27, 331 women", Clin Chem, 55, pp.888~894 (2009)
  35. Sniderman AD, "A meta-analysis of low-density lipoprotein cholesterol, non-high-density lipoprotein cholesterol, and apolipoprotein B as markers of cardiovascular risk", Circ Cardiovasc Qual Outcomes, 4, pp.337~345 (2011)
  36. Sniderman AD, "Discordance analysis of apolipoprotein B and non-high density lipoprotein cholesterol as markers of cardiovascular risk in the INTERHEART study", Atherosclerosis, 225, pp.444~449 (2012)
  37. van Deventer HE, "Non-HDL cholesterol shows improved accuracy for cardiovascular risk score classification compared to direct or calculated LDL cholesterol in a dyslipidemic population", Clin Chem, 57, pp.490~501 (2011)

관련 논문AI추천

Standardization Status of Total Cholesterol Concentration Measurement: Analysis of Korean External Quality Assessment DataChun Sail, Kim Sollip, Lee Kyunghoon, Lee Yong-Wha, Min Won-Ki, Park Hyung-Doo, Yoon Young Ahn대한진단검사의학회 · Annals of Laboratory Medicine2021 · 제41권 제4호Can Reference Materials Prepared Following CLSI C37-A Be Utilized Without Commutability Assessment? Perspectives Based on Lipid MeasurementsAn Dongheui, Cho Chan-Ik, Choi Qute, Kim Jeong-Ho, Kim Sollip, Kwon Gye Cheol, Lee Sang-Guk, Park Pil-Whan, Seo Jong Do, Song Junghan, Yun Yeo Min대한진단검사의학회 · Annals of Laboratory Medicine2025 · 제45권 제6호Measuring Low Density Lipoprotein Cholesterol: Comparison of Direct Measurement by HiSens Reagents and Friedewald EstimationJin-A Park, Ji-Young Yoon, Kyoung-So Jeon, Sang-Keun Hahm, Seon-Hee Choi, So-Young Lee, Sung-Kyu Choi대한가정의학회 · Korean Journal of Family Medicine2015 · 제36권 제4호ISO 15197 지침에 따른 혈당측정기 바로잰 H 성능 평가김영빈, 박형두, 서지영, 이수연대한진단검사의학회 · Laboratory Medicine Online2015 · 제5권 제1호Postprandial Lipid Concentrations and Daytime Biological Variation of Lipids in a Healthy Chinese PopulationDagan Yang, Qian Cai, Xinglun Qi, Yunxian Zhou대한진단검사의학회 · Annals of Laboratory Medicine2018 · 제38권 제5호고중성지방혈증 환자에서 저밀도 지단백 콜레스테롤의 직접측정법, Martin/Hopkins 계산식, Sampson/NIH 계산식의 비교Chung Soie, In Ji Won, Kim Jayoun대한진단검사의학회 · Laboratory Medicine Online2025 · 제15권 제1호

이 간행물의 다른 논문 (8건)