PT  - JOURNAL ARTICLE
AU  - Yılmaz, Sinan
AU  - Uysal, Hilal B.
AU  - Avcil, Mücahit
AU  - Yılmaz, Mustafa
AU  - Dağlı, Bekir
AU  - Bakış, Murat
AU  - Ömürlü, Imran K.
TI  - Comparison of different methods for measurement of electrolytes in patients admitted to the intensive care unit
AID  - 10.15537/smj.2016.3.13539
DP  - 2016 Mar 01
TA  - Saudi Medical Journal
PG  - 262--267
VI  - 37
IP  - 3
4099  - http://smj.org.sa/content/37/3/262.short
4100  - http://smj.org.sa/content/37/3/262.full
SO  - Saudi Med J2016 Mar 01; 37
AB  - Objectives: To investigate whether electrolyte levels measured by using blood gas analyzers (ABG) and auto-analyzers (AA) are equivalent and can be used interchangeably.Methods: This observational prospective study was conducted in 100 patients admitted to the Intensive Care Unit, Adnan Menderes University School of Medicine, Aydin, Turkey, between March and August 2014. Samples for both AA and ABG analyzers were collected simultaneously from invasive arterial catheters of patients. The electrolyte levels were measured by using 2 methods.Results: The mean sodium level measured by ABG was 136.1±6.3 mmol/L and 137.8±5.4 mmol/L for AA (p=0.001). The Pearson’s correlation coefficient was 0.561 (p<0.001). The Bland-Altman 95% limits of agreement were -9.4 to 12.6 mmol/L. The mean potassium levels measured by ABG was 3.4±0.7 mmol/L and AA was 3.8±0.7 mmol/L (p=0.001). The Bland-Altman comparison limits were -0.58 to 1.24 and the associated Pearson’s correlation coefficient was 0.812 (p<0.001).Conclusion: The results of the 2 analyzing methods, in terms of sodium, were not equivalent and could not be used interchangeably. However, according to the statistical analyses results, by including, but not blindly trusting these findings, urgent and vital decisions could be made by the potassium levels obtained from the BGA, but a simultaneous follow-up sample had to be sent to the central laboratory for confirmation.