| One hundred sera from intensive care patients, and 93 sera from endocrinological outpatients were used
for a comparison between two automated assays for free triiodothyronine (Enzymun Test, and Elecsys 2010, both
Boehringer Mannheim, Mannheim, Germany). In outpatients a good correlation between both methods was found
(r=0.932). In contrast, comparability between the two assays was poor in intensive care patients (r=0.75, after
exclusion of two outliers); significantly more values in the hypothyroid range were found with the Elecsys 2010
assay (n=83, compared with n=33 with the Enzymun Test; x2 test p=0.001). We conclude that routine measurement
of free triiodothyronine which has the theoretical advantage of quantifying the biologically active fraction of
thyroid hormones may have methodological limitations in severely ill patients. |