Abstract

Abstract Objectives Serum ferritin (SF) is a biomarker of physiological iron stores. Reference intervals for ferritin about children are the subject of some controversy. Methods SF was assayed on Beckman analyzer. All results were retrieved from the electronic medical record (3,344 samples). Student’s t test and one-way ANOVA test were applied to compare two groups, with respect to continuous and discrete variables. Results The reference range of SF on reference population was 8.40–95.98 µg/L. Among the male, there was no significant difference in the average level between the 0–1 years old group and the 1–3 years old group, but there were significant differences between the other groups and the previous group. In terms of women, there was no significant difference in the average level of ferritin between the 1–3 years old group and 9–17 years old group and the previous group, but there were significant differences in the average levels of ferritin in other groups. Conclusions We established the reference intervals of ferritin of different age groups and gender groups. Our results have practical significance for the formulation of clinical reference range, which would be helpful in interpreting laboratory data and clinical decision-making.

Highlights

  • Ferritin is a biomarker of physiological iron stores, the determination of serum ferritin can reflect the total iron storage in the body and can be used as a reliable index for the diagnosis of iron deficiency or overload [1]

  • Sample collection: Fasting venous blood was taken in the morning, and serum was separated within 2 h after blood collection, according to the reagent instructions require the exclusion of hemolytic, lipoblood, and jaundice samples that may interfere with ferritin results

  • There was no significant difference in Serum ferritin (SF) between men and women (p=0.244).We found that most of the subjects were distributed within the range of 20.1–40.0, followed by 40.1–60.0 groups

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Summary

Introduction

Ferritin is a biomarker of physiological iron stores, the determination of serum ferritin can reflect the total iron storage in the body and can be used as a reliable index for the diagnosis of iron deficiency or overload [1]. Ferritin can be used function as a marker of iron reserves, but may to aid in clinical decision-making, including prognosis, diagnosis, treatment, and/or patient management [3]. Analyte reference interval (RIS) is one of the most widely used clinical decision making tools as the basis for interpreting medical laboratory data [4]. Any increase in ferritin above the reference interval (RI) could lead to follow-up such as additional laboratory testing and imaging, to identify the source [5]. This makes it difficult for doctors to interpret the results. It is necessary to establish your own RIs based on its population and analytical methods for use in clinical laboratories

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