Determination of Erythrocyte Sedimentation Rate (ESR) with a BC-760 Automated Analyzer vs Westergren
Keywords:
Westergren, Automated analyzer BC-760, Erythrocyte sedimentation rate, Leftover specimensAbstract
Purposes: To study the correlation of erythrocyte sedimentation rate measurements between the automated analyzer BC-760 and the standard Westergren method.
Study design: This study was Cross-sectional study.
Materials and Methods: The research conducted was a Cross-sectional Study where the researcher collected leftover specimens, specifically blood samples from patients drawn from venous blood. The samples were placed in K2-EDTA anticoagulant tubes during the period from July 14 to July 21, 2023, totaling 100 cases. The measurement of the erythrocyte sedimentation rate (ESR) was performed using the automatic analyzer BC-760 and the standard Westergren method. The statistical analyses employed included descriptive statistics and Pearson correlation.
Main finding: The majority of the sample group were male (61.00%), with an average age of 61.99 years (SD. = 11.63), and 44.00% were treated in the medical ward. The data analysis revealed a statistically significant correlation between the erythrocyte sedimentation rate measured by the automated analyzer BC-760 and the Westergren method (p < .001), with a correlation coefficient (r) of 0.9469, indicating a strong positive correlation. The Bland-Altman plot analysis showed that most of the data from both methods fell within the limits of agreement (LOA), and no clear pattern was observed, indicating that the measurements from both methods were well correlated.
Conclusions and recommendation : The study demonstrated that the use of the BC-760 automatic analyzer for measuring the erythrocyte sedimentation rate (ESR) is highly effective, showing a very high correlation with the results obtained from the standard Westergren method, which is considered the gold standard. This method can be utilized for patient services, significantly reducing the analysis time from 1 hour to just 90 seconds. It allows for continuous testing and requires a smaller volume of blood, enabling simultaneous analysis with a complete blood count (CBC) using the same tube, thus lowering the costs associated with sample collection.
References
Ščudla V, Horák P. [Differential diagnosis of increased Erythrocyte Sedimentation rate]. Vnitr Lek. 2023;69(1):48–56.
Ali A, Abbasi A S, Amjad T, Saleem F. Erythrocyte Sedimentation Rate And C-Reactive Protein As Marker Of Acute Versus Chronic Medical Conditions. J Ayub Med Coll Abbottabad. 2019;31(1):39–45.
Brigden M L. Clinical utility of the erythrocyte sedimentation rate. Am Fam Physician. 1999;60(5):1443–50.
Bray C, Bell LN, Liang H, Haykal R, Kaiksow F, Mazza J J, et al. Erythrocyte Sedimentation Rate and C-reactive Protein Measurements and Their Relevance in Clinical Medicine. WMJ. 2016;115(6):317–21.
Lapić I, Padoan A, Bozzato D, Plebani M. Erythrocyte Sedimentation Rate and C-Reactive Protein in Acute Inflammation: Meta-Analysis of Diagnostic Accuracy Studies. American Journal of Clinical Pathology. 2020;153(1):14–29.
Brzustewicz E, Henc I, Daca A, Szarecka M, Sochocka-Bykowska M, Witkowski J, et al. Autoantibodies, C-reactive protein, erythrocyte sedimentation rate and serum cytokine profiling in monitoring of early treatment. Central European Journal of Immunology. 2017;42(3):259–68.
Tishkowski K, Gupta V. Erythrocyte sedimentation rate. 2020 [cited 2025 Mar 17]; Available from: https://europepmc.org/books/nbk557485
Xiao L-j, Liu J-L, Pan N-N, Cui S-J, He H-H, Ren T-Y, et al. The Relationship between Erythrocyte Sedimentation Rate and Erythrocyte Sedimentation/Red Blood Cell Ratio and Disease Activity in Systemic Lupus Erythematosus. 2020;66(3).
Majorczyk E, Mazurek-Mochol M, Pawlik A, Kuśnierczyk P. Clinical factors and the outcome of treatment with methotrexate in rheumatoid arthritis: role of rheumatoid factor, erosive disease and high level of erythrocyte sedimentation rate. Journal of Clinical Medicine. 2022;11(20):6078.
Plebani M, Piva E. Erythrocyte Sedimentation Rate: Use of Fresh Blood for Quality Control. American Journal of Clinical Pathology. 2002;117(4):621–6.
Yamane T. Statistics: An introductory analysis. 3rd ed. New York: Harper and Row; 1973.
Boğdaycioğlu N, Yilmaz F M, Sezer S, Oğuz E. Comparison of iSED and Ves-Matic Cube 200 Erythrocyte Sedimentation Rate Measurements With Westergren Method. J Clin Lab Anal. 2015;29(5):397–404.
Khongwichit S, Saelim M, Na-Songkhla Y, Buncherd H, Nopparatana C, Srinoun K. Method Verification of the Caretium XC-A30 Automated Erythrocyte Sedimentation Rate Analyser for Erythrocyte Sedimentation Rate. Malays J Med Sci. 2022;29(5):39–47.
Tomassetti F, Calabrese C, Bertani F, Cennamo M, Diamanti D, Giovannelli A, et al. Performance Evaluation of Automated Erythrocyte Sedimentation Rate (ESR) Analyzers in a Multicentric Study. Diagnostics (Basel). 2024;14(18):2011.
Plebani M, De Toni S, Sanzari M C, Bernardi D, Stockreiter E. The TEST 1 Automated System: A New Method for Measuring the Erythrocyte Sedimentation Rate. American Journal of Clinical Pathology. 1998;110(3):334–40.
Mahlangu J N, Davids M. Three-way comparison of methods for the measurement of the erythrocyte sedimentation rate. Journal of Clinical Laboratory Analysis. 2008;22(5):346–52.
Kratz A, Plebani M, Peng M, Lee Y K, McCafferty R, Machin S J, et al. ICSH recommendations for modified and alternate methods measuring the erythrocyte sedimentation rate. International Journal of Laboratory Hematology. 2017;39(5):448–57.
Briggs C, Carter J, Lee S H, Sandhaus L M, Simon-Lopez R, Tsongalis G J. Comparison of erythrocyte sedimentation rates determined by the iSED® automated ESR analyzer and the Westergren method. Int J Lab Hematol. 2016;38(2):164-71.
Piva E, Pajola R, Temporin V, Plebani M. A new turbidimetric standard to improve the quality assurance of the erythrocyte sedimentation rate measurement. Clin Biochem. 2007;40(7):491–5.
Brody B A, Solomon A J, Solomon D H. Performance of a novel fully automated point-of-care erythrocyte sedimentation rate device for determining inflammatory status in rheumatoid arthritis. J Clin Rheumatol. 2019;25(4).
Walle M, Alemayehu E, Tesfaye A, Arkew M, Asmerom H, Agidew MM, et al. Comparison of erythrocyte sedimentation rate measurement between Westergren method and automated method among patients attending Jigjiga University Sheik Hassen Yabare Referral Hospital, Jigjiga, Ethiopia. Frontiers in Medicine. 2024;11:1414097.
Mushtaq H, Mehmood T, Khan I, Razvi N. Correlation between automated and the Westergren method for determination. Journal of Bahria University Medical and Dental College. 2019;9(2):109–12.
Asif N. Validation of Automated ESR Methods with Conventional Method as Gold Standard. Journal of Islamabad Medical & Dental College. 2012;1(2):81–4.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของ สำนักงานสาธารณสุขจังหวัดร้อยเอ็ด
บทความที่ลงตีพิมพ์ในวารสารวิจัย และพัฒนานวัตกรรมทางสุขภาพ สํานักงานสาธารณสุขจังหวัดร้อยเอ็ด ถือเป็น ผลงานวิชาการ งานวิจัย วิเคราะห์ ตลอดจนเป็นความเห็นส่วนตัวของผู้ประพันธ์ กองบรรณาธิการไม่จําเป็นต้องเห็น ด้วยเสมอไป และผู้ประพันธ์จะต้องรับผิดชอบต่อบทความของตนเอง