- Research Article
- 10.1093/clinchem/hvaf086.697
B-310 Evaluation of a Quantitative Enzymatic Ethylene Glycol Method on the Beckman AU5800 Platform
- Oct 02, 2025
- Clinical Chemistry
- Lalit Patel + 6 more +6
Background The reference method to analyze ethylene glycol (EG) is Gas Chromatography (GC). However, GC instruments are not available in most clinical laboratories, causing EG testing to be sent out. This prolongs turnaround time and delays treatment, which is precarious given the short (30min-12hr) onset for life-threatening CNS and metabolic effects from EG intoxication. To address the need for acute determination of EG levels, we evaluated the analytical performance of Catachem’s EG open channel assay on a Beckman AU5800 chemistry analyzer in the core laboratory of Grady Memorial Hospital, a large safety-net provider of emergency care in Atlanta. Methods Assay linearity and analytical measurement range (AMR) were verified in triplicate using Catachem’s linearity material. Within-run and day-to-day precision (twice over 10 days) were tested using two Catachem controls. Analytical sensitivity was assessed by running blank and spiked patient samples with low EG concentrations in quadruplicate over 4 days. Limit of detection (LOD) was calculated as limit of blank + 1.65×standard deviation of low EG spiked samples. Limit of quantification (LOQ) was determined by the lowest EG concentration at which maximum allowable precision was 20%. Method comparison was performed using residual patient serum samples collected in serum separator tubes (n=35) and spiked with EG (Sigma-Aldrich, 5M solution) at concentrations spanning the AMR. An independent hospital lab offering the same Catachem EG assay configured on a Roche Cobas C502 served as the comparative method. A reference interval was determined from 30 patient serum samples with normal osmolality (272-297 mOsm/kg). Sample carryover was determined using patient samples spiked with high or low EG concentration according to the protocol described by EP Evaluator. To assess analytical specificity, 3 neat and 3 EG spiked patient samples were run in duplicate using methanol (99%, Cardinal Health), ethanol (95%, Pharmco), isopropanol (70%, Hydrox), and acetone (99%, Fisher) at final concentrations of 2000 mg/dL. No spike-ins changed sample volume by more than 5%. Results The assay was linear between 0-300.0 mg/dL (y-intercept of -2.8 mg/dL, slope=0.95). Precision studies using 2 levels of QC demonstrated a within run CV=1.6% for each level and day-to-day run CV=3.9% (mean=53.9 mg/dL) and 2.8% (mean=247.3 mg/dL). Total Allowable Error (TAE) for within-run and day-to-day precision were 5.0% and 6.7%, respectively. Limit of detection (LOD) and limit of quantification (LOQ) were 2.0 mg/dL and 4.0 mg/dL, respectively. Method comparison exhibits an allowable slope of 0.96, y-intercept of 2.0, correlation coefficient (r) of 0.99, and average bias of -1.4 mg/dL. Carry over error of -0.4mg/dL was below the error limit of 1.0mg/dL and not clinically significant. All 30 patient samples with normal osmolality resulted with EG concentrations
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