Preliminary evaluation of a point-of-care blood gas-electrolyte analyzer potentially robust in cold during emergencies and disasters

Evidence from evaluation of reagents in stress testing chambers

William J. Ferguson, John H. Vy, Richard F. Louie, Melody Zhou, Corbin M. Curtis, Chloe S. Tang, Gerald J Kost

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVE: Our purpose was to evaluate the effects of a dynamic cold profile on the performance of epoc (Alere, Waltham, Mass) test cards for blood gas and electrolyte measurements using quality control (QC) reagents. METHODS: Test cards for the epoc system were stressed under a profile modeling the conditions experienced during the rescue and recovery phase following the 2011 earthquake and tsunami off the Pacific coast of Tōhoku, Japan. Thermally stressed test cards and control test cards stored at room temperature were evaluated in pairs using 3 levels of aqueous QC material (levels 1, 2, and 3). Paired measurements were taken at stress durations of 24, 72, 168 (1 week), 336 (2 weeks), and 672 hours (4 weeks) to determine differences between control and stressed. RESULTS: Wilcoxon signed rank test results identified no difference between stressed and control pairs for each analyte at each QC Level. The Kruskal-Wallis test distinguished 3 analyte groups affected by the duration of stress at QC level 3 (PO2 [P < 0.01], Na [P < 0.01], and K [P < 0.05]). Post hoc analysis of PO2 (P < 0.01), Na (P < 0.01), and K (P < 0.05) time points using the Mann-Whitney U test evaluated with a stricter P value generated by the Holm-Bonferroni method recognized no statistically significant differences between analyte time points. CONCLUSIONS: The epoc test cards do not appear to be affected significantly by the dynamic cold conditions observed during the 2011 Great East Japan Earthquake. Therefore, use of epoc blood gas systems may be feasible and should be explored with field trials.

Original languageEnglish (US)
Pages (from-to)152-156
Number of pages5
JournalPoint of Care
Volume11
Issue number3
DOIs
StatePublished - Sep 2012

Fingerprint

Point-of-Care Systems
Disasters
Quality Control
Electrolytes
Emergencies
Gases
Earthquakes
Nonparametric Statistics
Japan
Tsunamis
Hematologic Tests
Temperature

Keywords

  • austere environments and quality assurance
  • blood gases and electrolytes
  • crush injury
  • disaster preparedness
  • Great East Japan Earthquake
  • medical errors

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Preliminary evaluation of a point-of-care blood gas-electrolyte analyzer potentially robust in cold during emergencies and disasters : Evidence from evaluation of reagents in stress testing chambers. / Ferguson, William J.; Vy, John H.; Louie, Richard F.; Zhou, Melody; Curtis, Corbin M.; Tang, Chloe S.; Kost, Gerald J.

In: Point of Care, Vol. 11, No. 3, 09.2012, p. 152-156.

Research output: Contribution to journalArticle

Ferguson, William J. ; Vy, John H. ; Louie, Richard F. ; Zhou, Melody ; Curtis, Corbin M. ; Tang, Chloe S. ; Kost, Gerald J. / Preliminary evaluation of a point-of-care blood gas-electrolyte analyzer potentially robust in cold during emergencies and disasters : Evidence from evaluation of reagents in stress testing chambers. In: Point of Care. 2012 ; Vol. 11, No. 3. pp. 152-156.
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AU - Louie, Richard F.

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N2 - OBJECTIVE: Our purpose was to evaluate the effects of a dynamic cold profile on the performance of epoc (Alere, Waltham, Mass) test cards for blood gas and electrolyte measurements using quality control (QC) reagents. METHODS: Test cards for the epoc system were stressed under a profile modeling the conditions experienced during the rescue and recovery phase following the 2011 earthquake and tsunami off the Pacific coast of Tōhoku, Japan. Thermally stressed test cards and control test cards stored at room temperature were evaluated in pairs using 3 levels of aqueous QC material (levels 1, 2, and 3). Paired measurements were taken at stress durations of 24, 72, 168 (1 week), 336 (2 weeks), and 672 hours (4 weeks) to determine differences between control and stressed. RESULTS: Wilcoxon signed rank test results identified no difference between stressed and control pairs for each analyte at each QC Level. The Kruskal-Wallis test distinguished 3 analyte groups affected by the duration of stress at QC level 3 (PO2 [P < 0.01], Na [P < 0.01], and K [P < 0.05]). Post hoc analysis of PO2 (P < 0.01), Na (P < 0.01), and K (P < 0.05) time points using the Mann-Whitney U test evaluated with a stricter P value generated by the Holm-Bonferroni method recognized no statistically significant differences between analyte time points. CONCLUSIONS: The epoc test cards do not appear to be affected significantly by the dynamic cold conditions observed during the 2011 Great East Japan Earthquake. Therefore, use of epoc blood gas systems may be feasible and should be explored with field trials.

AB - OBJECTIVE: Our purpose was to evaluate the effects of a dynamic cold profile on the performance of epoc (Alere, Waltham, Mass) test cards for blood gas and electrolyte measurements using quality control (QC) reagents. METHODS: Test cards for the epoc system were stressed under a profile modeling the conditions experienced during the rescue and recovery phase following the 2011 earthquake and tsunami off the Pacific coast of Tōhoku, Japan. Thermally stressed test cards and control test cards stored at room temperature were evaluated in pairs using 3 levels of aqueous QC material (levels 1, 2, and 3). Paired measurements were taken at stress durations of 24, 72, 168 (1 week), 336 (2 weeks), and 672 hours (4 weeks) to determine differences between control and stressed. RESULTS: Wilcoxon signed rank test results identified no difference between stressed and control pairs for each analyte at each QC Level. The Kruskal-Wallis test distinguished 3 analyte groups affected by the duration of stress at QC level 3 (PO2 [P < 0.01], Na [P < 0.01], and K [P < 0.05]). Post hoc analysis of PO2 (P < 0.01), Na (P < 0.01), and K (P < 0.05) time points using the Mann-Whitney U test evaluated with a stricter P value generated by the Holm-Bonferroni method recognized no statistically significant differences between analyte time points. CONCLUSIONS: The epoc test cards do not appear to be affected significantly by the dynamic cold conditions observed during the 2011 Great East Japan Earthquake. Therefore, use of epoc blood gas systems may be feasible and should be explored with field trials.

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KW - medical errors

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