title: Discrepancy between visual and spectrophotometric assessment of sample haemolysis.
abstract: BACKGROUND
  This study assessed the agreement between visual grading of sample haemolysis with automated haemolysis index (H index) measurement on the Roche 917 clinical chemistry analyser.
  
  
  METHODS
  The H indices of 800 serum potassium samples and 800 EDTA plasma troponin I samples were compared with routine visual grading of sample haemolysis by technologists. Photographs of mild (haemoglobin 1 g/L), moderate (2.5 g/L) and severe (5 g/L) haemolysis were available for reference.
  
  
  RESULTS
  For serum samples, the weighted kappa coefficient was 0.42 with an 8.0% haemolysis rate determined by visual inspection and 3.4% by H index. For EDTA-plasma samples, the weighted kappa coefficient was 0.35 with a 4.5% haemolysis rate determined by visual inspection and 7.9% by H index.
  
  
  CONCLUSIONS
  Visual assessment of sample haemolysis is unreliable and can give variable results depending on sample type. Laboratories should consider investigating sample haemolysis using automated haemolysis index measurement as an alternative to visual grading whenever it is available.
authors.affiliation: Department of Pathology and Laboratory Medicine, Tan Tock Seng Hospital, Singapore 308433. Robert_Hawkins@ttsh.com.sg
authors.forename: Robert
authors.initials: R
authors.lastname: Hawkins
mesh_terms: D019411:Clinical Laboratory Techniques / Q000592:standards*; D004492:Edetic Acid / Q000097:blood; D006454:Hemoglobins / Q000032:analysis / Q000378:metabolism; D006461:Hemolysis; D006801:Humans; D010781:Photography; D011188:Potassium / Q000097:blood; D013053:Spectrophotometry / Q000379:methods; D019210:Troponin I / Q000097:blood*; D014796:Visual Perception
chemical_list: D006454:Hemoglobins; D019210:Troponin I; D004492:Edetic Acid; D011188:Potassium