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Indian Journal of Emergency Medicine

Volume  8, Issue 1, January–March 2022, Pages 9-14
 

Original Article

Comparison of Point of Care Versus Laboratory Autoanalyzer Measurements of Sodium and Potassium Levels in Patients Admitted from the Emergency Department

Imran Ahmad Khan1, Sajid N A Nomani2, Debasish Mishra3, Amit Yadav4, Sayantika Sarkar5, Sonal Patnaik

1,3,4Associate Consultant, 2Consultant & Director, Institute of Emergency Medicine & Trauma Center, Course Site Director-MEM, 5,6Junior Consultant, Department of Emergency Medicine, AMRI Hospital, Bhubaneswar 751030, Odisha, India.

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.8122.1

Abstract

Abstract Electrolyte problems are one of the most common cause of morbidity and mortality in the sick patients coming to the Emergency. Electrolytes measured in central lab usually takes 30-60 minutes or more whereas point of care device can give results within 5 to 10 minutes, however different instruments available and their values varies accordingly. Therefore, this study was done to investigate whether electrolyte i.e. sodium and potassium levels assessed using point of care device and auto analysers were equivalent. Methods: We prospectively studied patients admitted from Emergency Department between January 2021 to October 2021. We had taken 60 paired convenience samples and analysed sodium and potassium levels in point of care device (epoc POC device, Siemens) and in Central Lab Auto Analyser (Siemens Dimension RxL Max Integrated chemistry analyzer or in Johnson & Johnson chemistry analyser model number 51 FS). Statistical method to compare the data included Boxplot view, Regression line, Spearman’s correlation coefficient’s, paired t-test for potassium and Wilcox test for sodium correlation, Regression equation, Deming regression and Bland Altman plots.


Corresponding Author : Sajid N A Nomani