Comparison of three whole blood creatinine methods for estimation of glomerular filtration rate before radiographic contrast administration

Am J Clin Pathol. 2009 Dec;132(6):920-6. doi: 10.1309/AJCPTE5FEY0VCGOZ.

Abstract

We compared the clinical concordance of estimated glomerular filtration rate (eGFR) based on 3 whole blood creatinine assays with the eGFR calculated from a reference plasma creatinine assay. Whole blood creatinine on the Radiometer ABL800 FLEX (Radiometer A/S, Bronshoj, Denmark) demonstrated the best correlation and concordance to plasma creatinine/eGFR compared with the i-STAT (i-STAT, East Windsor, NJ) and StatSensor (Nova Biomedical, Waltham, MA). The i-STAT had better sensitivity (compared with Radiometer) but poorer specificity for prediction of plasma eGFR less than 60 mL/min/1.73 m(2). The StatSensor demonstrated lower concordance of whole blood to plasma eGFR but offered a slope and an intercept offset feature that partially compensates for this effect. The optimal device for use in rapid determination of eGFR from whole blood creatinine may depend on whether it is more important in a given practice to optimize sensitivity, specificity, or overall concordance for determining plasma eGFR less than 60 mL/min/1.73 m(2).

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Contraindications
  • Contrast Media / administration & dosage*
  • Contrast Media / adverse effects
  • Creatinine / blood*
  • Glomerular Filtration Rate*
  • Humans
  • Kidney Diseases / blood
  • Kidney Diseases / diagnosis
  • Point-of-Care Systems*
  • Predictive Value of Tests
  • Reproducibility of Results
  • Risk Factors

Substances

  • Contrast Media
  • Creatinine