Analytical performance evaluation of the Elecsys® Troponin T Gen 5 STAT assay.

dc.contributor.author

Fitzgerald, Robert L

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Hollander, Judd E

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Peacock, W Frank

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Limkakeng, Alexander T

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Breitenbeck, Nancy

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Blechschmidt, Kareen

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Laimighofer, Michael

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deFilippi, Christopher

dc.date.accessioned

2020-10-22T00:50:35Z

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2020-10-22T00:50:35Z

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2019-08

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2020-10-22T00:50:34Z

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BACKGROUND:We report the analytical performance of the Elecsys® Troponin T Gen 5 STAT (TnT Gen 5 STAT; Roche Diagnostics) assay. METHODS:Measuring limits/ranges were determined in lithium-heparin plasma samples per Clinical and Laboratory Standards Institute (CLSI) EP17-A2. Precision was evaluated per CLSI EP05-A2 using lithium-heparin plasma/quality control samples on cobas e 411/cobas e 601 analyzers; two duplicated runs per day for 21 days (n = 84). Cross-reactivity with other troponin forms and interference from endogenous substances/drugs was tested; recovery criterion for no cross-reactivity was within ±10%. RESULTS:Coefficients of variation (CV) for repeatability/intermediate precision were 0.7-5.6%/1.4-10.3% (cobas e 411; mean cardiac troponin T [cTnT]: 7.3-9341 ng/L) and 0.7-3.0%/1.5-6.4% (cobas e 601; mean cTnT: 7.4-9455 ng/L). There was no cross-reactivity with skeletal muscle troponin T (≤ 10,000 ng/L), skeletal muscle troponin I (≤ 100,000 ng/L), cardiac troponin I (≤ 10,000 ng/L), or human troponin C (≤ 80,000 ng/L). No interference was observed with biotin (≤ 20 ng/mL) or 34 drugs. CONCLUSION:The TnT Gen 5 STAT assay demonstrated a CV of <10% at the 99th percentile upper reference limit, meeting precision requirements (Fourth Universal Definition of Myocardial Infarction) for high-sensitivity troponin assays.

dc.identifier

S0009-8981(19)31887-X

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0009-8981

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1873-3492

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https://hdl.handle.net/10161/21627

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eng

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Elsevier BV

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Clinica chimica acta; international journal of clinical chemistry

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10.1016/j.cca.2019.05.026

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Humans

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Troponin T

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Blood Chemical Analysis

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Immunoassay

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Luminescent Measurements

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Reproducibility of Results

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Limit of Detection

dc.title

Analytical performance evaluation of the Elecsys® Troponin T Gen 5 STAT assay.

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Journal article

duke.contributor.orcid

Limkakeng, Alexander T|0000-0002-9822-5595

pubs.begin-page

522

pubs.end-page

528

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School of Medicine

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Surgery, Emergency Medicine

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Duke

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Surgery

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Clinical Science Departments

pubs.publication-status

Published

pubs.volume

495

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