The interpretation of results

Published on 01/03/2015 by admin

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Last modified 01/03/2015

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The interpretation of results

It can take considerable effort, and expense, to produce what may seem to be just numbers on pieces of paper or on a computer screen. Understanding what these numbers mean is of crucial importance if the correct diagnosis is to be made, or if the patient’s treatment is to be changed.

How biochemical results are expressed

Most biochemical analyses are quantitative, although simple qualitative or semi-quantitative tests, such as those for the presence of glucose in urine, are commonly encountered methods used for point of care testing. Many tests measure the amount of the analyte in a small volume of blood, plasma, serum, urine or some other fluid or tissue. Results are reported as concentrations, usually in terms of the number of moles in one litre (mol/L) (Table 3.1).

Table 3.1

Molar units

Mole Abbreviation Definition
Millimole mmol ×10−3 of a mole
Micromole µmol ×10−6
Nanomole nmol ×10−9
Picomole pmol ×10−12
Femtomole fmol ×10−15

The concept of concentration is illustrated in Figure 3.1. The concentration of any analyte in a body compartment is a ratio: the amount of the substance dissolved in a known volume. Changes in concentration can occur for two reasons:

Enzymes are not usually expressed in moles but as enzyme activity in ‘units’. Enzyme assays are carried out in such a way that the activity measured is directly proportional to the amount of enzyme present. Some hormone measurements are expressed as ‘units’ by comparison to standard reference preparations of known biological potency. Large molecules such as proteins are reported in mass units (grams or milligrams) per litre. Blood gas results (PCO2 or PO2) are expressed in kilopascals (kPa), the unit in which partial pressures are measured.