2018-2023年重庆市肌钙蛋白POCT室间质量评价结果分析
Analysis of external quality assessment for cardiac troponin POCT in Chongqing from 2018 to 2023
朱明松 1李甜 1万雅芳 1牛长春 1廖璞1
作者信息
- 1. 重庆市人民医院检验科/重庆市临床检验中心,重庆 401147
- 折叠
摘要
目的 分析2018-2023年重庆市肌钙蛋白即时检测(POCT)室间质量评价(EQA)结果,了解重庆市肌钙蛋白POCT检测现状,为提高重庆市肌钙蛋白POCT检测能力提供依据.方法 收集2018-2023年参加重庆市临床检验中心肌钙蛋白POCT EQA实验室结果,并进行统计分析.结果 2018-2023年参加重庆市肌钙蛋白POCT EQA的实验室数从36家增加至88家,所使用的仪器品牌分组数从无增加至8个,每批次实验室合格率从最低26.32%增加至最高89.77%,但仍存在各仪器品牌分组靶值差异较大的现象,2023年各批号分组靶值的变异系数为44.72%～105.69%.结论 重庆市肌钙蛋白POCT EQA参加率和检测水平尚有待提高,需持续将肌钙蛋白POCT纳入EQA计划,以定期监测全市范围内该项目的检测质量,为临床诊疗提供快速、可靠的保障.
Abstract
Objective To improve the detection ability and to know the current situation of Chongqing point of care testing(POCT)of cardiac troponin by analyzing the external quality assessment(EQA)of cardi-ac troponin POCT from 2018 to 2023 in Chongqing.Methods The results of troponin POCT EQA laboratory in Chongqing Center for Clinical Laboratory from 2018 to 2023 were collected and statistically analyzed.Re-sults From 2018 to 2023,the number of laboratories participating in Chongqing's troponin POCT EQA in-creased from 36 to 88,the number of instrument brand groupings used increased from none to 8,and the quali-fied rate of each batch of laboratories increased from the lowest 26.32%to the highest 89.77%.However,there was still a large difference in the target values of each instrument brand grouping.The variable coeffi-cients of grouped target value for each batch varied from 44.72%to 105.69%in 2023.Conclusion The par-ticipation rate and detection level of Chongqing cardiac troponin POCT EQA needs to be improved,and tropo-nin POCT should be continuously included in EQA plan to regularly monitor the detection quality of this pro-ject in the whole city,so as to provide rapid and reliable guarantee for clinical diagnosis and treatment.
关键词
肌钙蛋白/即时检测/质量控制/室间质量评价/急性冠状动脉综合征Key words
Cardiac troponin/Point of care testing/Quality control/External quality assess-ment/Acute coronary syndrome引用本文复制引用
基金项目
重庆市技术创新与应用发展专项面上项目(cstc2020jscxsbqw0025)
出版年
2024
国家科技期刊平台
NSTL
万方数据