PMID- 38369513 OWN - NLM STAT- MEDLINE DCOM- 20240429 LR - 20240429 IS - 1437-4331 (Electronic) IS - 1434-6621 (Linking) VI - 62 IP - 6 DP - 2024 May 27 TI - Monocyte distribution width (MDW): study of reference values in blood donors. PG - 1133-1137 LID - 10.1515/cclm-2023-1495 [doi] AB - OBJECTIVES: Monocyte distribution width (MDW) is a new biomarker used as an early indicator of sepsis (ESId). It is often aids in the identification of patients who may develop sepsis. This study aims to establish the MDW reference interval (RI) within the healthy population of blood donors using EDTA-K(2) as anticoagulant. Many hospitals use this biomarker as a means of identifying patients who present to the hospital with sepsis. METHODS: A total of 274 samples obtained from healthy donors were analyzed. MDW measurements were taken within 2 h post-extraction. The RI was estimated using various statistical methodologies, including the recommended CLSI EP28-A3c guideline, non-parametric and robust methods, along with the Harrell-Davis bootstrap method applied to the entire sample. RESULTS: The RI estimated through non-parametric method was 14.77 CI90 % (14.36-14.97)-21.13 CI90 % (20.89-21.68); RI using the robust method was 15.64-19.05 and RI using the Harrell-Davis bootstrap method was 14.73 CI90 % (14.53-14.92)-21.14 CI90 % (20.88-21.40). CONCLUSIONS: Based on clinical applicability, we recommend utilizing the RI derived from the non-parametric method, aligning with the CLSI recommendations. Furthermore, we consider that our results can be taken as a reference in other laboratories that serve a population similar to our study cohort. CI - (c) 2024 the author(s), published by De Gruyter, Berlin/Boston. FAU - Garcia-Alvarez, Ana AU - Garcia-Alvarez A AUID- ORCID: 0000-0002-0451-7184 AD - Department of Medical Laboratory, Laboratory Medicine Institute, Instituto de Investigacion Sanitaria Hospital Clinico San Carlos (IdISSC), Hospital Clinico San Carlos, Madrid, Spain. AD - Complutense University of Madrid, Faculty of Medicine, Madrid, Spain. FAU - Posada Franco, Yolanda AU - Posada Franco Y AUID- ORCID: 0009-0000-2854-6919 AD - Department of Medical Laboratory, Laboratory Medicine Institute, Instituto de Investigacion Sanitaria Hospital Clinico San Carlos (IdISSC), Hospital Clinico San Carlos, Madrid, Spain. FAU - Martinez-Novillo Gonzalez, Mercedes AU - Martinez-Novillo Gonzalez M AD - Department of Medical Laboratory, Laboratory Medicine Institute, Instituto de Investigacion Sanitaria Hospital Clinico San Carlos (IdISSC), Hospital Clinico San Carlos, Madrid, Spain. FAU - Hernandez Alvarez, Elena AU - Hernandez Alvarez E AUID- ORCID: 0000-0003-2386-7128 AD - Department of Medical Laboratory, Laboratory Medicine Institute, Instituto de Investigacion Sanitaria Hospital Clinico San Carlos (IdISSC), Hospital Clinico San Carlos, Madrid, Spain. FAU - Serrano Garcia, Irene AU - Serrano Garcia I AUID- ORCID: 0000-0001-7184-5447 AD - Research Methodological Support Unit, Instituto de Investigacion Sanitaria Hospital Clinico San Carlos (IdISSC), Hospital Clinico San Carlos, Madrid, Spain. FAU - Sanz-Casla, Maria Teresa AU - Sanz-Casla MT AUID- ORCID: 0000-0002-9184-3497 AD - Department of Medical Laboratory, Laboratory Medicine Institute, Instituto de Investigacion Sanitaria Hospital Clinico San Carlos (IdISSC), Hospital Clinico San Carlos, Madrid, Spain. LA - eng PT - Journal Article DEP - 20240219 PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Biomarkers) SB - IM MH - Humans MH - *Blood Donors MH - Reference Values MH - Adult MH - Male MH - Female MH - Middle Aged MH - *Monocytes/cytology MH - Young Adult MH - Sepsis/blood/diagnosis MH - Biomarkers/blood MH - Adolescent MH - Aged OTO - NOTNLM OT - anticoagulant EDTA-K2 OT - donors OT - monocyte distribution width (MDW) OT - reference interval OT - sepsis EDAT- 2024/02/19 00:42 MHDA- 2024/04/29 13:57 CRDT- 2024/02/18 23:35 PHST- 2023/10/16 00:00 [received] PHST- 2024/02/01 00:00 [accepted] PHST- 2024/04/29 13:57 [medline] PHST- 2024/02/19 00:42 [pubmed] PHST- 2024/02/18 23:35 [entrez] AID - cclm-2023-1495 [pii] AID - 10.1515/cclm-2023-1495 [doi] PST - epublish SO - Clin Chem Lab Med. 2024 Feb 19;62(6):1133-1137. doi: 10.1515/cclm-2023-1495. Print 2024 May 27.