Safety, quality & education

Discrepancies Between Point of Care and Central Laboratory Sodium and Potassium Measurements in ICU: Analytical Biases and Physician Awareness

Crit Care MedPublished Prospective method-comparison study with physician survey

Authors' conclusion

IP and DP were not interchangeable, each exhibiting distinct strengths and limitations.

Study context

Population
ICU population, tertiary hospital
Participants
501 paired measurements
Exposure
Indirect potentiometry (IP) vs direct potentiometry (DP)
Outcome
Agreement between IP and DP
Methodological detailspaired measurements, single-centre (tertiary hospital)
  • Paired measurements
  • Single-centre (tertiary hospital)

Main finding

As reported in the abstract

Lin's concordance correlation coefficient, Na+ (moderate agreement)

0.90

Lin's concordance correlation coefficient, K+ (moderate agreement)

0.93

95% limit of agreement for Na+ (mmol/L)

10.48

Discrepancy in classification (within, below, or above normal range), Na+ and K+

≈10%

Observational data: associations, not effects.

Further findings

Physician survey (103 responding physicians)

Aware of analytical bias in Na+ by IP
31.1%
Considered K+ by DP as reliable or more reliable than IP
45.6%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Discrepancies Between Point of Care and Central Laboratory Sodium and Potassium Measurements in ICU: Analytical Biases and Physician Awareness. Crit Care Med. Published 13 March 2026. doi:10.1097/ccm.0000000000007039

Composed by AI from the published abstract and checked against it. How Briefs are made →

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