Closing the Gaps in Pediatric Laboratory Reference Intervals: A CALIPER Database of 40 Biochemical Markers in a Healthy and Multiethnic Population of Children

Pediatric healthcare is critically dependent on the availability of accurate and precise laboratory biomarkers of pediatric disease, and on the availability of reference intervals to allow appropriate clinical interpretation. The development and growth of children profoundly influence normal circula...

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Veröffentlicht in:Clinical chemistry (Baltimore, Md.) Md.), 2012-05, Vol.58 (5), p.854-868
Hauptverfasser: COLANTONIO, David A, KYRIAKOPOULOU, Lianna, KHUN CHAN, Man, DALY, Caitlin H, BRINE, Davor, VENNER, Allison A, PASIC, Maria D, ARMBRUSTER, David, ADELI, Khosrow
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container_issue 5
container_start_page 854
container_title Clinical chemistry (Baltimore, Md.)
container_volume 58
creator COLANTONIO, David A
KYRIAKOPOULOU, Lianna
KHUN CHAN, Man
DALY, Caitlin H
BRINE, Davor
VENNER, Allison A
PASIC, Maria D
ARMBRUSTER, David
ADELI, Khosrow
description Pediatric healthcare is critically dependent on the availability of accurate and precise laboratory biomarkers of pediatric disease, and on the availability of reference intervals to allow appropriate clinical interpretation. The development and growth of children profoundly influence normal circulating concentrations of biochemical markers and thus the respective reference intervals. There are currently substantial gaps in our knowledge of the influences of age, sex, and ethnicity on reference intervals. We report a comprehensive covariate-stratified reference interval database established from a healthy, nonhospitalized, and multiethnic pediatric population. Healthy children and adolescents (n = 2188, newborn to 18 years of age) were recruited from a multiethnic population with informed parental consent and were assessed from completed questionnaires and according to defined exclusion criteria. Whole-blood samples were collected for establishing age- and sex-stratified reference intervals for 40 serum biochemical markers (serum chemistry, enzymes, lipids, proteins) on the Abbott ARCHITECT c8000 analyzer. Reference intervals were generated according to CLSI C28-A3 statistical guidelines. Caucasians, East Asians, and South Asian participants were evaluated with respect to the influence of ethnicity, and statistically significant differences were observed for 7 specific biomarkers. The establishment of a new comprehensive database of pediatric reference intervals is part of the Canadian Laboratory Initiative in Pediatric Reference Intervals (CALIPER). It should assist laboratorians and pediatricians in interpreting test results more accurately and thereby lead to improved diagnosis of childhood diseases and reduced patient risk. The database will also be of global benefit once reference intervals are validated in transference studies with other analytical platforms and local populations, as recommended by the CLSI.
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Caucasians, East Asians, and South Asian participants were evaluated with respect to the influence of ethnicity, and statistically significant differences were observed for 7 specific biomarkers. The establishment of a new comprehensive database of pediatric reference intervals is part of the Canadian Laboratory Initiative in Pediatric Reference Intervals (CALIPER). It should assist laboratorians and pediatricians in interpreting test results more accurately and thereby lead to improved diagnosis of childhood diseases and reduced patient risk. 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subjects Adolescent
Age Factors
Analytical, structural and metabolic biochemistry
Architects
Asian Continental Ancestry Group
Biological and medical sciences
Biomarkers - blood
Canada
Child
Child, Preschool
Children & youth
Databases, Factual
Ethnicity
European Continental Ancestry Group
Female
Fundamental and applied biological sciences. Psychology
Gender differences
Hospitals
Humans
Hypothyroidism
Infant
Infant, Newborn
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical research
Medical sciences
Metabolic disorders
Molecular biophysics
Nutrition research
Pediatrics
Reference Values
Schools
Sex Factors
title Closing the Gaps in Pediatric Laboratory Reference Intervals: A CALIPER Database of 40 Biochemical Markers in a Healthy and Multiethnic Population of Children
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