Evaluation of three portable blood lactate analysers: Lactate Pro, Lactate Scout and Lactate Plus.
Three portable blood lactate analysers, Lactate Pro (LP), Lactate Scout (LS) and Lactate Plus (L(+)), were evaluated. Analyser reliability and accuracy was assessed. For reliability, intra- and inter-analyser comparisons demonstrated that the LP (intra-TE = 0.5 mM, inter-TE = 0.4 mM) and L(+) (intra-TE = 0.4, inter-TE = 0.4 mM) displayed greater overall reliability than the LS (intra-TE = 1.0, inter-TE = 0.8 mM). At BLa < 4.0 mM, the LP (intra-TE = 0.1 mM) demonstrated greater reliability than the LS (intra-TE = 0.5 mM) and L(+) (intra-TE = 0.4 mM). At BLa > 8.0 mM, the LP (intra-TE = 0.5 mM, inter-TE = 0.4 mM) and L(+) (intra- and inter-TE = 0.4 mM) displayed greater reliability than the LS (intra-TE = 1.1 mM, inter-TE = 0.9 mM). For accuracy, the L(+) (SEE = 0.6 mM) compared more favourably to the LP than the LS (SEE = 1.1 mM). At BLa approximately 1.0-18.0 mM, the LS produced values that were up to 0.9 mM higher than the LP; the L(+) produced BLa that were within +/-0.1 mM. All portable analysers tended to under-read the ABL 700 analyser. The suitability of the LP and L(+) as accurate analysers is supported by strong correlations (r = 0.91 and r = 0.94) and limits of agreement <or=2.1 mM. This study showed that the LP and L(+), compared well to each other, displayed good reliability and accuracy when compared to a laboratory-based analyser. Although the LS also displayed relatively good reliability, it was not as reliable or accurate as the LP or L(+).
National Sport Science Quality Assurance Program, Australian Institute of Sport, Belconnen, Canberra, ACT, Australia. rebecca.tanner@ausport.gov.au
Rebecca K
RK
Tanner
Kate L
KL
Fuller
Megan L R
ML
Ross
D015415:Biomarkers / Q000097:blood; D001774:Blood Chemical Analysis / Q000295:instrumentation*; D001784:Blood Gas Analysis / Q000295:instrumentation; D055664:Electrochemical Techniques; D004867:Equipment Design; D005260:Female; D006801:Humans; D019344:Lactic Acid / Q000097:blood*; D016014:Linear Models; D008297:Male; D015588:Observer Variation; D011237:Predictive Value of Tests; D011934:Reagent Strips; D015203:Reproducibility of Results
D015415:Biomarkers; D011934:Reagent Strips; D019344:Lactic Acid