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Comparing age-wise reference intervals for serum creatinine concentration in a Reality check of the recommended cut-off

机译:在建议的临界值的现实检查中比较血清肌酐浓度的年龄参考区间

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摘要

An increase in the communication within the healthcare services, both nationally and internationally, has strengthened the need for harmonization of measurements and reference intervals in laboratory medicine. In the present report, the calculated reference interval for serum creatinine (sCr) levels of healthy normal individuals (n=1121) in different sex and age groups are compared with the established interval. The calculated reference interval for sCr level was 0.4–1.3 mg/dL and 0.6 to 1.3 mg/dL in the age groups of 21–40 and 41–60 years respectively. The difference between the mean sCr values in total males and total females (age range 21–60 years) was statistically significant (p<0.0001); When male and female subjects were analyzed age-group wise, the data showed a significant difference in mean sCr values (p<0.0001) in three age groups (21–30, 31–40 and 41–50 years) however, in older age group (51–60 years), the difference was non-significant (p=0.07). The reference ranges were 0.7–1.3 and 0.4–1.0 mg/dL for males and females respectively where the lower limit was 0.1–0.2 units less than that of standard limits. An increase in the mean value of sCr was observed particularly in females with an increase in age. Hence it is of interest to validate an age specific reference ranges for sCr in our population.
机译:国内外医疗保健服务之间交流的增加,增加了对实验室医学的测量值和参考间隔进行统一的需求。在本报告中,将计算出的不同性别和年龄组的健康正常个体(n = 1121)的血清肌酐(sCr)水平参考区间与确定的区间进行比较。在21-40岁和41-60岁年龄组中,计算得出的sCr水平参考区间分别为0.4-1.3 mg / dL和0.6至1.3 mg / dL。男性和女性(21-60岁年龄段)的平均sCr值之间的差异具有统计学意义(p <0.0001)。当按年龄组对男性和女性受试者进行分析时,数据显示三个年龄组(21-30、31-40和41-50岁)的平均sCr值存在显着差异(p <0.0001),但是年龄较大组(51-60岁),差异不显着(p = 0.07)。男性和女性的参考范围分别为0.7–1.3和0.4–1.0 mg / dL,其下限比标准限值低0.1–0.2单位。观察到sCr平均值的增加,尤其是随着年龄的增长女性。因此,有必要验证我们人群中sCr的年龄特定参考范围。

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