Reference Intervals for Research Parameters of Reticulocyte Hemoglobin and Platelet Clumps in Healthy Korean Adults
	    		
		   		
		   			
		   		
	    	
    	 
    	10.15263/jlmqa.2024.46.1.38
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Miyoung KIM
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Miyoung KIM
			        		
			        		;
		        		
		        		
		        		
			        		Sangkyoon HONG
			        		
			        		;
		        		
		        		
		        		
			        		Sangkyoon HONG
			        		
			        		;
		        		
		        		
		        		
			        		Nan Young KIM
			        		
			        		;
		        		
		        		
		        		
			        		Nan Young KIM
			        		
			        		;
		        		
		        		
		        		
			        		Kibum JEON
			        		
			        		;
		        		
		        		
		        		
			        		Kibum JEON
			        		
			        		;
		        		
		        		
		        		
			        		Jiwon LEE
			        		
			        		;
		        		
		        		
		        		
			        		Jiwon LEE
			        		
			        		;
		        		
		        		
		        		
			        		Han-Sung KIM
			        		
			        		;
		        		
		        		
		        		
			        		Han-Sung KIM
			        		
			        		;
		        		
		        		
		        		
			        		Hee Jung KANG
			        		
			        		;
		        		
		        		
		        		
			        		Hee Jung KANG
			        		
			        		;
		        		
		        		
		        		
			        		Young Kyung LEE
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:ORIGINAL ARTICLE
 
        	
        	
            
            
            	- From:Journal of Laboratory Medicine and Quality Assurance
	            		
	            		 2024;46(1):38-42
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	 Background:Automated hematology analyzers report various research parameters. Certain parameters may have clinical implications, whereas others are used to set flags in automated hematology analyzers. In this study, we established sex-specific reference intervals for one reticulocyte parameter and two platelet clump parameters in Korean adults and examined the necessity of separate reference intervals for each sex. 
				        	
				        
				        	Methods:A total of 264 healthy adults (157 men and 107 women) aged between 18 and 65 years who underwent regular health check-ups were enrolled. Complete blood cell count was measured using Advia2120i (Siemens, Germany) within 4 hours of phlebotomy. Reference intervals were established according to the Clinical and Laboratory Standards Institute EP28-A3 guideline, and the necessity of separate sex-specific reference intervals was examined according to the method outlined by Harris and Boyd. 
				        	
				        
				        	Results:The reference intervals for each parameter were as follows:reticulocyte hemoglobin (g/L), 132.8–172.0 (men), 96.7–162.8 (women); the number of platelet clumps (# platelet clumps), 10.8–61.0 (men), -22.5–64.4 (women); and %platelet clumps, 0.20–1.49 (men), -0.57–1.53 (women).Reticulocyte hemoglobin showed a significant difference between men and women, whereas # platelet clumps and %platelet clumps did not; however, all three parameters needed separate sex-specific reference intervals. 
				        	
				        
				        	Conclusions:We established sex-specific reference intervals for a reticulocyte parameter and platelet clumps parameters in Korean adults for the first time.The results could provide helpful information in clinical decision-making and instrument setting.