¿Son válidos los métodos manuales modificados para determinar la Velocidad de Eritrosedimentación Globular (VSG) en laboratorios clínicos?
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Palabras clave

Velocidad de Eritrosedimentación Globular
Westergren
estándar de oro
concordancia
validez

Cómo citar

Payán González, A., Jurado Orejuela, D., & Garzón Lancheros, L. (2019). ¿Son válidos los métodos manuales modificados para determinar la Velocidad de Eritrosedimentación Globular (VSG) en laboratorios clínicos?. Entramado, 16(1), 230-238. https://doi.org/10.18041/1900-3803/entramado.1.6088

Resumen

Se evaluó estadísticamente la validez de cuatro métodos para determinar la Velocidad de Eritrosedimentación Globular (VSG) alternos al de Westergren, el que se tomó como “gold standard”. Los métodos evaluados fueron Wintrobe (WB), Wintrobe inclinado (WI) a 45° y dos micrométodos  capilares, uno vertical (MM) y otro inclinado a 45° (MMI). Se procesaron 419 muestras por los cinco métodos. Se evaluó la concordancia (C), la sensibilidad (S), especificidad (E), valor predictivo positivo (VPP) y valor predictivo negativo (VPN).  Los resultados de S, E, VPP, VPN y C fueron: 93,8%, 93,6, 98,8%, 72,8% y 71% en el de WB; 86,3%, 85,7%, 97,2%, 52,4% y 54% en el de WI; 94,6%, 66,6%, 94,1%, 71,4% y 54% para MM y 91,9%, 72,4%, 94,8%, 60,8% y 55% para MMI. El índice kappa mostró  una concordancia “buena” entre el método de Westergren y el método de Wintrobe y  “moderada” con los métodos de WBI, MM y MMI. Los resultados del presente estudio muestran que el método de Wintrobe es confiable para su uso en el laboratorio clínico comparado con el de Westergreen.

https://doi.org/10.18041/1900-3803/entramado.1.6088
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