Test Overview
Test Methodology

Multiplex immunoassay using the i-STAT Alinity instrument

Test Usage

The i-STAT TBI test is a panel of in vitro diagnostic immunoassays for the quantitative measurements of glial fibrillary acidic protein (GFAP) and ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1) in whole blood and a semi-quantitative interpretation of test results derived from these measurements, using the i-STAT Alinity instrument.
The interpretation of test results is used, in conjunction with other clinical information, to aid in the evaluation of patients, 18 years of age or older, presenting with suspected mild traumatic brain injury (Glasgow Coma Scale score 13-15), which may include one of the following four clinical criteria:
1) any period of loss of consciousness
2) any loss of memory for events immediately before and after the accident
3) any alteration in mental state at the time of accident
4) focal neurological deficits, within 24 hours of injury, to assist in determining the need for a CT (computed tomography) scan of the head.
A ‘Not Elevated’ test interpretation is associated with the absence of acute traumatic intracranial lesions visualized on a head CT scan

Reference Range *

GFAP <65
UCH-L1 <360

* Reference ranges may change over time. Please refer to the original patient report when evaluating results.

Test Limitations

• The i-STAT TBI test is not intended to be used as a stand-alone device but as an adjunct to other clinical information to aid in the evaluation of patients who are being considered for standard of care neuroimaging.
• A ‘Not Elevated’ result is generally associated with the absence of acute intracranial lesions. An appropriate neuroimaging method is required for diagnosis of acute intracranial lesions.
• Samples from patients who have been exposed to animals or who have received therapeutic or diagnostic procedures employing immunoglobulins or reagents derived from immunoglobulins may contain antibodies, e.g., HAMA or other heterophile antibodies, which may interfere with immunoassays and produce erroneous results. The generation of potentially interfering antibodies in response to bacterial infections has been reported. While this product contains reagents that minimize the effect of these interferents and QC algorithms designed to detect their effects, the possibility of interference causing erroneous results should be evaluated carefully in cases where there are inconsistencies in the clinical information.
• The test results should be assessed in conjunction with the patient's symptoms, clinical examination, and other findings. If results appear inconsistent with the clinical assessment, the patient sample should be retested using another cartridge.

Test Details
Days Set Up
Daily, 24 hours a day
Analytic Time

15-minute run time

Soft Order Code
TRBI
MiChart Code
Traumatic Brain Injury Acute BIomarkers
Laboratory
Chemical Pathology
Section
Automation
Specimen Requirements
Collection Instructions

Not Applicable

Normal Volume
20 uL
Minimum Volume
20 uL
Rejection Criteria
Specimen > 1 hour after collection
Add-on testing is NOT allowed
Billing
Fee Code
JA065