Key result
Point-of-care Stratus CS and Atellica VTLi troponin assays demonstrate acceptable analytical performance in African rhinoceros.
Why the study?
The extent of cardiac muscle injury in chemically immobilized and transported African rhinoceros is unknown due to a lack of validated cardiac troponin I assays.
Observational (n=17)
No
The Stratus CS and Atellica VTLi point-of-care cardiac troponin I assays have acceptable analytical performance for detecting cardiac muscle injury in African rhinoceros.
Supports POC cTnI validation in rhinoceros; leaves open clinical adoption and species-specific reference ranges.
Background Skeletal and possible cardiac muscle damage has been reported in chemically immobilized and transported African rhinoceros during conservation‐related activities. The extent of cardiac muscle injury in these rhinoceros is unknown due to a lack of validated cardiac troponin I (cTnI) assays. However, recently, five human cTnI assays were deemed suitable for analytical validation in African rhinoceros based on cTnI sequencing results. Objectives The first objective was to validate two cTnI immunoassay point‐of‐care analyzers (POCAs) in African rhinoceros and, secondly, to perform quality control (QC) validation for the POCAs. Methods Analytical validation of the Stratus CS Acute Care Troponin I cTnI immunoassay and Atellica VTLi high sensitivity cTnI (hs‐cTnI) assay was performed using rhinoceros serum samples and species‐specific cardiac muscle homogenate. Experiments included precision studies, reportable range, hemoglobin interference studies, recovery studies, and detection limit studies, with results assessed against prescribed total allowable error (TE a ) performance goals. Commercial quality control material (QCM) data were used to calculate bias and imprecision for QC validation. Results Imprecision was acceptable (1.9%–10.3%) and met low cTnI concentration performance goals. Reportable ranges were similar to the manufacturer's specifications. High hemoglobin concentrations in white rhinoceros resulted in a positive bias in the Stratus CS. A simple 1 3s QC rule using two levels of QCM and a TEa of 70% could be used in both analyzers, except at very low cTnI concentrations in the Atellica VTLi. Conclusions Both cTnI POCAs are suitable for use in African rhinoceros, and analytical performance goals for low cTnI concentrations in hs‐cTnI assays were met.
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Rautenbach et al. (2025) conducted an observational in Cardiac muscle injury assessment in African rhinoceros (n=17). Stratus CS and Atellica VTLi cTnI immunoassays was evaluated on Analytical performance (imprecision, reportable range, interference, recovery). Both the Stratus CS and Atellica VTLi point-of-care cardiac troponin I immunoassays demonstrated acceptable analytical performance, with imprecision of 1.9% to 10.3%, for use in African rhinoceros.
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