Reference_ranges_for_blood_tests

Reference ranges for blood tests

Reference ranges for blood tests

Common human medical data ranges for blood test results


Reference ranges (reference intervals) for blood tests are sets of values used by a health professional to interpret a set of medical test results from blood samples. Reference ranges for blood tests are studied within the field of clinical chemistry (also known as "clinical biochemistry", "chemical pathology" or "pure blood chemistry"), the area of pathology that is generally concerned with analysis of bodily fluids.[citation needed]

Blood test results should always be interpreted using the reference range provided by the laboratory that performed the test.[1]

Interpretation

A reference range is usually defined as the set of values 95 percent of the normal population falls within (that is, 95% prediction interval).[2] It is determined by collecting data from vast numbers of laboratory tests.[citation needed]

Plasma or whole blood

In this article, all values (except the ones listed below) denote blood plasma concentration, which is approximately 60–100% larger than the actual blood concentration if the amount inside red blood cells (RBCs) is negligible. The precise factor depends on hematocrit as well as amount inside RBCs. Exceptions are mainly those values that denote total blood concentration, and in this article they are:[3]

  • All values in Hematology – red blood cells (except hemoglobin in plasma)
  • All values in Hematology – white blood cells
  • Platelet count (Plt)

A few values are for inside red blood cells only:

  • Vitamin B9 (folic acid/folate) in red blood cells
  • Mean corpuscular hemoglobin concentration (MCHC)

Units

Arterial or venous

If not otherwise specified, a reference range for a blood test is generally the venous range, as the standard process of obtaining a sample is by venipuncture. An exception is for acid–base and blood gases, which are generally given for arterial blood.[citation needed]

Still, the blood values are approximately equal between the arterial and venous sides for most substances, with the exception of acid–base, blood gases and drugs (used in therapeutic drug monitoring (TDM) assays).[6] Arterial levels for drugs are generally higher than venous levels because of extraction while passing through tissues.[6]

Usual or optimal

Reference ranges are usually given as what are the usual (or normal) values found in the population, more specifically the prediction interval that 95% of the population fall into. This may also be called standard range. In contrast, optimal (health) range or therapeutic target is a reference range or limit that is based on concentrations or levels that are associated with optimal health or minimal risk of related complications and diseases. For most substances presented, the optimal levels are the ones normally found in the population as well. More specifically, optimal levels are generally close to a central tendency of the values found in the population. However, usual and optimal levels may differ substantially, most notably among vitamins and blood lipids, so these tables give limits on both standard and optimal (or target) ranges. In addition, some values, including troponin I and brain natriuretic peptide, are given as the estimated appropriate cutoffs to distinguish healthy people from people with specific conditions, which here are myocardial infarction and congestive heart failure, respectively, for the aforementioned substances.[7][8][9]

Variability

References range may vary with age, sex, race, pregnancy,[10] diet, use of prescribed or herbal drugs and stress. Reference ranges often depend on the analytical method used, for reasons such as inaccuracy, lack of standardisation, lack of certified reference material and differing antibody reactivity.[11] Also, reference ranges may be inaccurate when the reference groups used to establish the ranges are small.[12]

Sorted by concentration

By mass and molarity

Smaller, narrower boxes indicate a more tight homeostatic regulation when measured as standard "usual" reference range.

Hormones predominate at the left part of the scale, shown with a red at ng/L or pmol/L, being in very low concentration. There appears to be the greatest cluster of substances in the yellow part (μg/L or nmol/L), becoming sparser in the green part (mg/L or μmol/L). However, there is another cluster containing many metabolic substances like cholesterol and glucose at the limit with the blue part (g/L or mmol/L).[citation needed]

The unit conversions of substance concentrations from the molar to the mass concentration scale above are made as follows:

  • Numerically:
  • Measured directly in distance on the scales:
,

where distance is the direct (not logarithmic) distance in number of decades or "octaves" to the right the mass concentration is found. To translate from mass to molar concentration, the dividend (molar mass and the divisor (1000) in the division change places, or, alternatively, distance to right is changed to distance to left. Substances with a molar mass around 1000g/mol (e.g. thyroxine) are almost vertically aligned in the mass and molar images. Adrenocorticotropic hormone, on the other hand, with a molar mass of 4540,[13] is 0.7 decades to the right in the mass image. Substances with molar mass below 1000g/mol (e.g. electrolytes and metabolites) would have "negative" distance, that is, masses deviating to the left. Many substances given in mass concentration are not given in molar amount because they haven't been added to the article.

The diagram above can also be used as an alternative way to convert any substance concentration (not only the normal or optimal ones) from molar to mass units and vice versa for those substances appearing in both scales, by measuring how much they are horizontally displaced from one another (representing the molar mass for that substance), and using the same distance from the concentration to be converted to determine the equivalent concentration in terms of the other unit. For example, on a certain monitor, the horizontal distance between the upper limits for parathyroid hormone in pmol/L and pg/mL may be 7 cm, with the mass concentration to the right. A molar concentration of, for example, 5 pmol/L would therefore correspond to a mass concentration located 7 cm to the right in the mass diagram, that is, approximately 45 pg/mL.

By units

Units do not necessarily imply anything about molarity or mass.

A few substances are below this main interval, e.g. thyroid stimulating hormone, being measured in mU/L, or above, like rheumatoid factor and CA19-9, being measured in U/mL.

By enzyme activity

White blood cells

Sorted by category

Ions and trace metals

Included here are also related binding proteins, like ferritin and transferrin for iron, and ceruloplasmin for copper.

More information Test, Lower limit ...
  • Note: Although 'mEq' for mass and 'mEq/L' are sometimes used in the United States and elsewhere, they are not part of SI and are now considered redundant.

Acid–base and blood gases

If arterial/venous is not specified for an acid–base or blood gas value, then it generally refers to arterial, and not venous which otherwise is standard for other blood tests.[citation needed]

Acid–base and blood gases are among the few blood constituents that exhibit substantial difference between arterial and venous values.[6] Still, pH, bicarbonate and base excess show a high level of inter-method reliability between arterial and venous tests, so arterial and venous values are roughly equivalent for these.[44]

More information Test, Arterial/Venous ...

Liver function

More information Test, Patient type ...

Cardiac tests

More information Test, Patient type ...
More information Interpretation, Range / Cutoff ...
More information Interpretation, Age ...

Lipids

More information Test, Patient type ...

Tumour markers

More information Test, Patient type ...

Endocrinology

Thyroid hormones

More information Test, Patient type ...

Sex hormones

The diagrams below take inter-cycle and inter-woman variability into account in displaying reference ranges for estradiol, progesterone, FSH and LH.

Levels of estradiol (the main estrogen), progesterone, luteinizing hormone and follicle-stimulating hormone during the menstrual cycle.[88]
More information Test, Patient type ...

Other hormones

More information Test, Patient type ...

Vitamins

Also including the vitamin B12)-related amino acid homocysteine.

More information Test, Patient type ...

Toxic Substances

More information Test, Limit type ...

Hematology

Red blood cells

These values (except Hemoglobin in plasma) are for total blood and not only blood plasma.

More information Test, Patient ...

White blood cells

These values are for total blood and not only blood plasma.

More information Test, Patient type ...

Coagulation

More information Test, Lower limit ...

Immunology

Acute phase proteins

Acute phase proteins are markers of inflammation.

More information Patient, Lower limit ...

Isotypes of antibodies

More information Test, Patient ...

Autoantibodies

Autoantibodies are usually absent or very low, so instead of being given in standard reference ranges, the values usually denote where they are said to be present, or whether the test is a positive test. There may also be an equivocal interval, where it is uncertain whether there is a significantly increased level.

More information Test, Negative ...
More information Test, Negative ...

Other immunology

More information Test, Lower limit ...

Other enzymes and proteins

More information Test, Lower limit ...

Other electrolytes and metabolites

Electrolytes and metabolites: For iron and copper, some related proteins are also included.

More information Test, Patient type ...

Medication

More information Test, Lower limit ...

See also

Notes

  1. The MCHC in g/dL and the mass fraction of hemoglobin in red blood cells in % are numerically identical in practice, assuming a RBC density of 1g/mL and negligible hemoglobin in plasma.

References

  1. "Reference Ranges and What They Mean". Lab Tests Online (USA). Archived from the original on 28 August 2013. Retrieved 22 June 2013.
  2. Page 19 in: Stephen K. Bangert MA MB BChir MSc MBA FRCPath; William J. Marshall MA MSc MBBS FRCP FRCPath FRCPEdin FIBiol; Marshall, William Leonard (2008). Clinical biochemistry: metabolic and clinical aspects. Philadelphia: Churchill Livingstone/Elsevier. ISBN 978-0-443-10186-1.{{cite book}}: CS1 maint: multiple names: authors list (link)
  3. Bransky A, Larsson A, Aardal E, Ben-Yosef Y, Christenson RH (2021). "A Novel Approach to Hematology Testing at the Point of Care". J Appl Lab Med. 6 (2): 532–542. doi:10.1093/jalm/jfaa186. PMC 7798949. PMID 33274357.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  4. "Units of measurement" in Medical toxicology, Richard C. Dart Edition: 3, illustrated, Lippincott Williams & Wilkins, 2004, p. 34 ISBN 978-0-7817-2845-4 1914 pages
  5. Reference range list from Uppsala University Hospital ("Laborationslista"). Artnr 40284 Sj74a. Issued on April 22, 2008
  6. "Arterial versus venous reference ranges", Medical Laboratory Observer, April, 2000 by D. Robert Dufour
  7. Ashvarya Mangla. "Troponins". medscape. Retrieved 2017-07-24. Updated: Jan 14, 2015
  8. Brenden CK, Hollander JE, Guss D, et al. (May 2006). "Gray zone BNP levels in heart failure patients in the emergency department: results from the Rapid Emergency Department Heart Failure Outpatient Trial (REDHOT) multicenter study". American Heart Journal. 151 (5): 1006–11. doi:10.1016/j.ahj.2005.10.017. PMID 16644322.
  9. Abbassi-Ghanavati, M.; Greer, L. G.; Cunningham, F. G. (2009). "Pregnancy and Laboratory Studies". Obstetrics & Gynecology. 114 (6): 1326–31. doi:10.1097/AOG.0b013e3181c2bde8. PMID 19935037. S2CID 24249021.
  10. William Q. Meeker & Gerald J. Hahn (1982). "Sample Sizes for Prediction Intervals". Journal of Quality Technology. 14 (4): 201–206. doi:10.1080/00224065.1982.11978821.
  11. PROOPIOMELANOCORTIN; NCBI / POMC Retrieved on September 28, 2009
  12. Last page of Deepak A. Rao; Le, Tao; Bhushan, Vikas (2007). First Aid for the USMLE Step 1 2008 (First Aid for the Usmle Step 1). McGraw-Hill Medical. ISBN 978-0-07-149868-5.
  13. Normal Reference Range Table Archived 2011-12-25 at the Wayback Machine from The University of Texas Southwestern Medical Center at Dallas. Used in Interactive Case Study Companion to Pathologic basis of disease.
  14. Derived from molar values using molar mass of 22.99 g•mol−1
  15. Derived from molar values using molar mass of 39.10 g•mol−1
  16. Merck Manuals > Common Medical Tests > Blood Tests Last full review/revision February 2003
  17. Derived from molar values using molar mass of 35.45 g•mol−1
  18. Derived from molar values using molar mass of 40.08  g•mol−1
  19. Derived from mass values using molar mass of 40.08  g•mol−1
  20. Slon S (2006-09-22). "Serum Iron". University of Illinois Medical Center. Archived from the original on 2006-10-28. Retrieved 2006-07-06.
  21. Derived from mass values using molar mass of 55.85 g•mol−1
  22. Table 1. Page 133" Clinical Chemistry 45, No. 1, 1999 (stating 1.9–3.3 g/L)
  23. Derived by dividing mass values with molar mass
  24. Ferritin by: Mark Levin, MD, Hematologist and Oncologist, Newark, NJ. Review provided by VeriMed Healthcare Network
  25. Andrea Duchini. "Hemochromatosis Workup". Medscape. Retrieved 2016-07-14. Updated: Jan 02, 2016
  26. Derived from mass values using molar mass of 450,000 g•mol−1
  27. Mitchell ML, Filippone MD, Wozniak TF (August 2001). "Metastatic carcinomatous cirrhosis and hepatic hemosiderosis in a patient heterozygous for the H63D genotype". Arch. Pathol. Lab. Med. 125 (8): 1084–87. doi:10.5858/2001-125-1084-MCCAHH. PMID 11473464.
  28. Derived from molar values using molar mass of 17.03 g/mol
  29. Derived from mass values using molar mass of 63.55 g•mol−1
  30. Derived from mass using molar mass of 151kDa
  31. Walter F. Boron (2005). Medical Physiology: A Cellular And Molecular Approaoch. Elsevier/Saunders. p. 849. ISBN 978-1-4160-2328-9.
  32. "Archived copy" (PDF). Archived from the original (PDF) on 2010-03-07. Retrieved 2010-01-17.{{cite web}}: CS1 maint: archived copy as title (link)
  33. Derived from molar values using molar mass of 65.38 g/mol
  34. Derived from mass values using molar mass of 65.38 g/mol
  35. Derived from molar values using molar mass of 24.31 g/mol
  36. Derived from mass values using molar mass of 24.31 g/mol
  37. Middleton P, Kelly AM, Brown J, Robertson M (August 2006). "Agreements between arterial and central venous values for pH, bicarbonate, base excess, and lactate". Emerg Med J. 23 (8): 622–24. doi:10.1136/emj.2006.035915. PMC 2564165. PMID 16858095.
  38. Derived from molar values using molar mass of 1.01 g•mol−1
  39. Derived from mmHg values using 0.133322 kPa/mmHg
  40. Derived from molar values using molar mass of 44.010 g/mol
  41. Derived from molar values using molar mass of 61 g/mol
  42. Derived from mass using molecular weight of 65kD
  43. Derived from mass values using molar mass of 585g/mol
  44. Derived from molar values using molar mass of 585g/mol
  45. Fachwörterbuch Kompakt Medizin E-D/D-E. Author: Fritz-Jürgen Nöhring. Edition 2. Publisher:Elsevier, Urban&FischerVerlag, 2004. ISBN 978-3-437-15120-0. Length: 1288 pages
  46. GPnotebook > reference range (AST) Archived 2017-01-07 at the Wayback Machine Retrieved on Dec 7, 2009
  47. "Gamma-GT". Leistungsverzeichnis. Medizinisch-Diagnostische Institute. Archived from the original on 25 April 2012. Retrieved 20 November 2011.
  48. Page 585 in: Lee, Mary Ann (2009). Basic Skills in Interpreting Laboratory Data. Amer Soc of Health System. ISBN 978-1-58528-180-0.
  49. Caselli, C.; Cangemi, G.; Masotti, S.; Ragusa, R.; Gennai, I.; Del Ry, S.; Prontera, C.; Clerico, A. (2016-07-01). "Plasma cardiac troponin I concentrations in healthy neonates, children and adolescents measured with a high sensitive immunoassay method: High sensitive troponin I in pediatric age". Clinica Chimica Acta. 458: 68–71. doi:10.1016/j.cca.2016.04.029. ISSN 0009-8981. PMID 27118089.
  50. Baum, Hannsjörg; Hinze, Anika; Bartels, Peter; Neumeier, Dieter (2004-12-01). "Reference values for cardiac troponins T and I in healthy neonates". Clinical Biochemistry. 37 (12): 1079–82. doi:10.1016/j.clinbiochem.2004.08.003. ISSN 0009-9120. PMID 15589813.
  51. Page 220 in: Lee, Mary Ann (2009). Basic Skills in Interpreting Laboratory Data. Amer Soc of Health System. ISBN 978-1-58528-180-0.
  52. Derived from values in mg/dL to mmol/L, by dividing by 89, according to faqs.org: What are mg/dL and mmol/L? How to convert? Glucose? Cholesterol? Last Update July 21, 2009. Retrieved on July 21, 2009
  53. Derived from values in mg/dL to mmol/L, using molar mass of 386.65 g/mol
  54. Derived from values in mmol/L, using molar mass of 386.65 g/mol
  55. What Your Cholesterol Levels Mean. American Heart Association. Retrieved on September 12, 2009
  56. "HDL Cholesterol: The Test". September 3, 2001. Archived from the original on 2001-09-03.
  57. Bjerner J, Høgetveit A, Wold Akselberg K, et al. (June 2008). "Reference intervals for carcinoembryonic antigen (CEA), CA125, MUC1, Alfa-foeto-protein (AFP), neuron-specific enolase (NSE) and CA19.9 from the NORIP study". Scandinavian Journal of Clinical and Laboratory Investigation. 68 (8): 703–13. doi:10.1080/00365510802126836. PMID 18609108. S2CID 12545738.
  58. Luboldt, Hans-Joachim; Schindler, Joachim F.; Rübben, Herbert (2007). "Age-Specific Reference Ranges for Prostate-Specific Antigen as a Marker for Prostate Cancer". EAU-EBU Update Series. 5 (1): 38–48. doi:10.1016/j.eeus.2006.10.003. ISSN 1871-2592.
  59. Basuyau JP, Mallet E, Leroy M, Brunelle P (October 2004). "Reference intervals for serum calcitonin in men, women, and children". Clinical Chemistry. 50 (10): 1828–30. doi:10.1373/clinchem.2003.026963. PMID 15388660.
  60. The TSH Reference Range Wars: What's "Normal?", Who is Wrong, Who is Right... Archived 2016-04-11 at the Wayback Machine By Mary Shomon, About.com. Updated: June 19, 2006. About.com Health's Disease and Condition
  61. 2006 Press releases: Thyroid Imbalance? Target Your Numbers Archived 2008-03-03 at the Wayback Machine Contacts: Bryan Campbell American] Association of Clinical Endocrinologists
  62. The TSH Reference Range Wars: What's "Normal?", Who is Wrong, Who is Right... Archived 2016-04-11 at the Wayback Machine By Mary Shomon, About.com. Updated: June 19, 2006
  63. Demers, Laurence M.; Carole A. Spencer (2002). "LMPG: Laboratory Support for the Diagnosis and Monitoring of Thyroid Disease". National Academy of Clinical Biochemistry (USA). Archived from the original on 2008-11-20. Retrieved 2007-04-13. – see Section 2. Pre-analytic factors
  64. Free T4; Thyroxine, Free; T4, Free Archived 2010-12-22 at the Wayback Machine UNC Health Care System
  65. Derived from molar values using molar mass of 776.87 g/mol
  66. Derived from mass values using molar mass of 776.87 g/mol
  67. van der Watt G, Haarburger D, Berman P (July 2008). "Euthyroid patient with elevated serum free thyroxine". Clinical Chemistry. 54 (7): 1239–41. doi:10.1373/clinchem.2007.101428. PMID 18593963.
  68. Derived from mass values using molar mass of 650.98 g/mol
  69. Cioffi M, Gazzerro P, Vietri MT, et al. (2001). "Serum concentration of free T3, free T4 and TSH in healthy children". Journal of Pediatric Endocrinology & Metabolism. 14 (9): 1635–39. doi:10.1515/jpem.2001.14.9.1635. PMID 11795654. S2CID 34910563. INIST 13391788.
  70. Derived from mass values using molar mass of 288.42g/mol
  71. Derived from molar values using molar mass of 288.42g/mol
  72. MedlinePlus > Testosterone Update Date: 3/18/2008. Updated by: Elizabeth H. Holt, MD, PhD, Yale University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director
  73. Derived from mass values using molar mass of 330.46g/mol
  74. reference range (FSH) GPnotebook. Retrieved on September 27, 2009
  75. Values taken from day 1 after LH surge in: Stricker R, Eberhart R, Chevailler MC, Quinn FA, Bischof P, Stricker R (2006). "Establishment of detailed reference values for luteinizing hormone, follicle stimulating hormone, estradiol, and progesterone during different phases of the menstrual cycle on the Abbott ARCHITECT analyzer". Clinical Chemistry and Laboratory Medicine. 44 (7): 883–87. doi:10.1515/CCLM.2006.160. PMID 16776638. S2CID 524952.
  76. GPNotebook – reference range (oestradiol) Archived 2012-06-09 at the Wayback Machine Retrieved on September 27, 2009
  77. Derived from molar values using molar mass of 272.38g/mol
  78. Total amount multiplied by 0.022 according to 2.2% presented in: Wu CH, Motohashi T, Abdel-Rahman HA, Flickinger GL, Mikhail G (August 1976). "Free and protein-bound plasma estradiol-17 beta during the menstrual cycle". J. Clin. Endocrinol. Metab. 43 (2): 436–45. doi:10.1210/jcem-43-2-436. PMID 950372.
  79. Derived from mass values using molar mass of 314.46 g/mol
  80. Bhattacharya Sudhindra Mohan (July/August 2005) Mid-luteal phase plasma progesterone levels in spontaneous and clomiphene citrate induced conception cycles J Obstet Gynecol India Vol. 55, No. 4 : July/August 2005 pp. 350–52
  81. Dehydroepiandrosterone Sulfate (DHEA-S), Serum Archived 2018-03-14 at the Wayback Machine at Mayo Foundation For Medical Education And Research. Retrieved July 2012
  82. Unit Code 91215 Archived 2011-07-20 at the Wayback Machine at Mayo Clinic Medical Laboratories. Retrieved April 2011
  83. Antimullerian Hormone (AMH), Serum Archived 2013-07-29 at the Wayback Machine from Mayo Medical Laboratories. Retrieved April 2012.
  84. Derived from mass values using 140,000 g/mol, as given in:
  85. Nieman, Lynnette K (29 September 2019). "Measurement of ACTH, CRH, and other hypothalamic and pituitary peptides". www.uptodate.com. UpToDate. Retrieved 25 June 2021.
  86. Derived from molar values using molar mass of 362 g/mol
  87. Friedrich N, Alte D, Völzke H, et al. (June 2008). "Reference ranges of serum IGF-1 and IGFBP-3 levels in a general adult population: results of the Study of Health in Pomerania (SHIP)". Growth Hormone & IGF Research. 18 (3): 228–37. doi:10.1016/j.ghir.2007.09.005. PMID 17997337.
  88. Taken from the assay method giving the lowest and highest estimate, respectively, from Table 2 in: Beltran L, Fahie-Wilson MN, McKenna TJ, Kavanagh L, Smith TP (October 2008). "Serum total prolactin and monomeric prolactin reference intervals determined by precipitation with polyethylene glycol: evaluation and validation on common immunoassay platforms". Clinical Chemistry. 54 (10): 1673–81. doi:10.1373/clinchem.2008.105312. PMID 18719199.
  89. Derived from molar values using molar mass of 9.4 kDa
  90. Table 2 in: Aloia JF, Feuerman M, Yeh JK (2006). "Reference range for serum parathyroid hormone". Endocr Pract. 12 (2): 137–44. doi:10.4158/ep.12.2.137. PMC 1482827. PMID 16690460.
  91. Derived from mass values using molar mass of 9.4 kDa
  92. Derived from molar values using molar mass 400.6 g/mol
  93. Bender, David A. (2003). "Vitamin D". Nutritional biochemistry of the vitamins. Cambridge: Cambridge University Press. ISBN 978-0-521-80388-5. Retrieved December 10, 2008 through Google Book Search.
  94. Bischoff-Ferrari HA, Dietrich T, Orav EJ, et al. (September 2004). "Higher 25-hydroxyvitamin D concentrations are associated with better lower-extremity function in both active and inactive persons aged > or =60 y". The American Journal of Clinical Nutrition. 80 (3): 752–58. doi:10.1093/ajcn/80.3.752. PMID 15321818.
  95. Reusch J, Ackermann H, Badenhoop K (May 2009). "Cyclic changes of vitamin D and PTH are primarily regulated by solar radiation: 5-year analysis of a German (50 degrees N) population". Horm. Metab. Res. 41 (5): 402–07. doi:10.1055/s-0028-1128131. PMID 19241329. S2CID 260166796.
  96. Converted from values in mcU/mL by dividing with a factor of 11.2 mcU/mL per ng/(mL*hour), as given in: Washington, Department of Laboratory Medicine. Retrieved Mars 2011
  97. Pratt RE, Flynn JA, Hobart PM, Paul M, Dzau VJ (March 1988). "Different secretory pathways of renin from mouse cells transfected with the human renin gene". The Journal of Biological Chemistry. 263 (7): 3137–41. doi:10.1016/S0021-9258(18)69046-5. PMID 2893797.
  98. New Assays for Aldosterone, Renin and Parathyroid Hormone Archived 2011-10-27 at the Wayback Machine University of Washington, Department of Laboratory Medicine. Retrieved Mars 2011
  99. Converted from values in ng/(mL*hour) by multiplying with a factor of 11.2 mcU/mL per ng/(mL*hour), as given in: Washington, Department of Laboratory Medicine. Retrieved Mars 2011
  100. Converted from mass values using molar mass of 360.44 g/mol
  101. Tiu SC, Choi CH, Shek CC, et al. (January 2005). "The use of aldosterone-renin ratio as a diagnostic test for primary hyperaldosteronism and its test characteristics under different conditions of blood sampling". The Journal of Clinical Endocrinology and Metabolism. 90 (1): 72–78. CiteSeerX 10.1.1.117.5182. doi:10.1210/jc.2004-1149. PMID 15483077.
  102. Derived from mass values using molar mass of 441 mol−1
  103. GPnotebook > B12 Retrieved on April 28, 2009
  104. Derived form molar values using molar mass of 1355g/mol
  105. Derived from mass values using molar mass of 1355g/mol
  106. "Homocysteine". www.thedoctorsdoctor.com.
  107. Derived from molar values using molar massof 135 g/mol
  108. Derived from mass values using molar mass of 176 grams per mol
  109. Derived from mass values using molar mass of 46g/mol
  110. Derived from mass values using 64,500 g/mol. This molar mass was taken from: Van Beekvelt MC, Colier WN, Wevers RA, Van Engelen BG (2001). "Performance of near-infrared spectroscopy in measuring local O2 consumption and blood flow in skeletal muscle". J Appl Physiol. 90 (2): 511–19. doi:10.1152/jappl.2001.90.2.511. PMID 11160049. S2CID 15468862.
  111. Normal Lab Values Archived 2014-12-16 at the Wayback Machine at Marshall University Joan C. Edwards School of Medicine. Retrieved July 2013
  112. molar concentration as given for hemoglobin above, but multiplied by 4, according to: Lodemann P, Schorer G, Frey BM (February 2010). "Wrong molar hemoglobin reference values-a longstanding error that should be corrected". Annals of Hematology. 89 (2): 209. doi:10.1007/s00277-009-0791-x. PMID 19609525. S2CID 3091357.
  113. Derived from mass concentration, using molar mass of 64,458 g/mol. This molar mass was taken from: Van Beekvelt MC, Colier WN, Wevers RA, Van Engelen BG (2001). "Performance of near-infrared spectroscopy in measuring local O2 consumption and blood flow in skeletal muscle". J Appl Physiol. 90 (2): 511–19. doi:10.1152/jappl.2001.90.2.511. PMID 11160049. S2CID 15468862.. Subsequently, 1 g/dL = 0.1551 mmol/L
  114. Morkis IV, Farias MG, Scotti L (2016). "Determination of reference ranges for immature platelet and reticulocyte fractions and reticulocyte hemoglobin equivalent". Rev Bras Hematol Hemoter. 38 (4): 310–313. doi:10.1016/j.bjhh.2016.07.001. PMC 5119661. PMID 27863758.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  115. Brugnara C, Schiller B, Moran J (2006). "Reticulocyte hemoglobin equivalent (Ret He) and assessment of iron-deficient states". Clinical and Laboratory Haematology. 28 (5): 303–8. doi:10.1111/j.1365-2257.2006.00812.x. PMC 1618805. PMID 16999719.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  116. McClatchey, Kenneth D. (November 28, 2002). Clinical Laboratory Medicine. Lippincott Williams & Wilkins. ISBN 9780683307511 via Google Books.
  117. "Determination of monocyte count by hematological analyzers, manual method and flow cytometry in Polish population" Central European Journal of Immunology (Centr Eur J Immunol 2006; 31 (1–2): 1–5) authors: Elżbieta Górska, Urszula Demkow, Roman Pińkowski, Barbara Jakubczak, Dorota Matuszewicz, Jolanta Gawęda, Wioletta Rzeszotarska, Maria Wąsik,
  118. Demirin H, Ozhan H, Ucgun T, Celer A, Bulur S, Cil H, Gunes C, Yildirim HA (2011). "Normal range of mean platelet volume in healthy subjects: Insight from a large epidemiologic study". Thromb. Res. 128 (4): 358–60. doi:10.1016/j.thromres.2011.05.007. PMID 21620440.
  119. Lozano M, Narváez J, Faúndez A, Mazzara R, Cid J, Jou JM, Marín JL, Ordinas A (1998). "[Platelet count and mean platelet volume in the Spanish population]". Med Clin (Barc) (in Spanish). 110 (20): 774–77. PMID 9666418.
  120. Antithrombin CO000300 in Coagulation Test Handbook at Massachusetts General Hospital. In turn citing:
    • Elizabeth M. Van Cott, M.D., and Michael Laposata, M.D., Ph.D., "Coagulation." In: Jacobs DS et al, ed. The Laboratory Test Handbook, 5th Edition. Lexi-Comp, Cleveland, 2001; 327–58.
  121. "Home". pathology.bsuh.nhs.uk. Retrieved November 20, 2009.
  122. Miller A, Green M, Robinson D (January 1983). "Simple rule for calculating normal erythrocyte sedimentation rate". British Medical Journal. 286 (6361): 266. doi:10.1136/bmj.286.6361.266. PMC 1546487. PMID 6402065.
  123. Böttiger LE, Svedberg CA (1967). "Normal erythrocyte sedimentation rate and age". Br Med J. 2 (5544): 85–87. doi:10.1136/bmj.2.5544.85. PMC 1841240. PMID 6020854.
  124. 2730 Serum C-Reactive Protein values in Diabetics with Periodontal Disease Archived 2008-12-20 at the Wayback Machine A.R. Choudhury, and S. Rahman, Birdem, Diabetic Association of Bangladesh, Dhaka, Bangladesh. (the diabetics were not used to determine the reference ranges)
  125. Derived from mass using molar mass of 25,106 g/mol
  126. Sipahi T, Kara C, Tavil B, Inci A, Oksal A (March 2003). "Alpha-1 antitrypsin deficiency: an overlooked cause of late hemorrhagic disease of the newborn". Journal of Pediatric Hematology/Oncology. 25 (3): 274–75. doi:10.1097/00043426-200303000-00019. PMID 12621252.
  127. Derived from mass values using molar mass of 44324.5 g/mol
  128. Derived from molar values using molar mass of 44324.5 g/mol
  129. "SSA – Clinical: SS-A/Ro Antibodies, IgG, Serum". www.mayocliniclabs.com. Mayo Clinic Laboratories. Retrieved 2 July 2020.
  130. "SSB – Clinical: SS-B/La Antibodies, IgG, Serum". www.mayocliniclabs.com. Mayo Clinic Laboratories. Retrieved 2 July 2020.
  131. "ADNA – Clinical: DNA Double-Stranded Antibodies, IgG, Serum". www.mayocliniclabs.com. Mayo Clinic Laboratories. Retrieved 2 July 2020.
  132. "AMA – Clinical: Mitochondrial Antibodies (M2), Serum". www.mayocliniclabs.com. Mayo Clinic Laboratories. Retrieved 2 July 2020.
  133. Ageno W, Finazzi S, Steidl L, et al. (2002). "Plasma measurement of D-dimer levels for the early diagnosis of ischemic stroke subtypes". Archives of Internal Medicine. 162 (22): 2589–93. doi:10.1001/archinte.162.22.2589. hdl:2434/51239. PMID 12456231.
  134. Kline JA, Williams GW, Hernandez-Nino J (May 2005). "D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed". Clinical Chemistry. 51 (5): 825–29. doi:10.1373/clinchem.2004.044883. PMID 15764641.
  135. Finney H, Newman DJ, Price CP (January 2000). "Adult reference ranges for serum cystatin C, creatinine and predicted creatinine clearance". Annals of Clinical Biochemistry. 37 (1): 49–59. doi:10.1258/0004563001901524. PMID 10672373. S2CID 35866310.
  136. Derived from molar values by multiplying with the molar mass of 113.118 g/mol, and divided by 10.000 to adapt from μg/L to mg/dL
  137. Derived from molar values using molar mass of 180g/mol
  138. Derived from mass values using molar mass of 180g/mol
  139. "Diabetes – Prevention". Cleveland Clinic. Retrieved 2016-06-23. Last revised 1/15/2013
  140. Derived from mass values using molar mass of 90.08 g/mol
  141. Derived from mass values using molar mass of 88.06 g/mol
  142. Page 700 in:
    Richard C. Dart (2004). Medical Toxicology. Lippincott Williams & Wilkins=year=2004. ISBN 9780781728454.
  143. The UK Electronic Medical Compendium recommends 0.4–0.8 mmol/L plasma lithium level in adults for prophylaxis of recurrent affective bipolar manic-depressive illness Camcolit 250 mg Lithium Carbonate Archived 2016-03-04 at the Wayback Machine Revision 2 December 2010, Retrieved 5 May 2011
  144. Amdisen A. (1978). "Clinical and serum level monitoring in lithium therapy and lithium intoxication". J. Anal. Toxicol. 2 (5): 193–202. doi:10.1093/jat/2.5.193.
  145. R. Baselt, Disposition of Toxic Drugs and Chemicals in Man, 8th edition, Biomedical Publications, Foster City, CA, 2008, pp. 851–54.
  146. One study (Solomon, D.; Ristow, W.; Keller, M.; Kane, J.; Gelenberg, A.; Rosenbaum, J.; Warshaw, M. (1996). "Serum lithium levels and psychosocial function in patients with bipolar I disorder". The American Journal of Psychiatry. 153 (10): 1301–07. doi:10.1176/ajp.153.10.1301. PMID 8831438.) concluded a "low" dose of 0.4–0.6 mmol/L serum lithium treatment for patients with bipolar 1 disorder had less side effects, but a higher rate of relapse, than a "standard" dose of 0.8–1.0 mmol/L. However, a reanalysis of the same experimental data (Perlis, R.; Sachs, G.; Lafer, B.; Otto, M.; Faraone, S.; Kane, J.; Rosenbaum, J. (2002). "Effect of abrupt change from standard to low serum levels of lithium: A reanalysis of double-blind lithium maintenance data". The American Journal of Psychiatry. 159 (7): 1155–59. doi:10.1176/appi.ajp.159.7.1155. PMID 12091193. S2CID 12103424.) concluded the higher rate of relapse for the "low" dose was due to abrupt changes in the lithium serum levels[improper synthesis?]
  147. John Marx; Ron Walls; Robert Hockberger (2013). Rosen's Emergency Medicine – Concepts and Clinical Practice. Elsevier Health Sciences. ISBN 9781455749874.

Further reading

  • Rappoport, n.; Paik, P.; Oskotsky, B.; Tor, R.; Ziv, E.; Zaitlen, N.; Butte, A. (4 November 2017). "Creating ethnicity-specific reference intervals for lab tests from EHR data". bioRxiv 10.1101/213892.

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