Table 2

Red cell biomarkers

Sampling time pointLower reference limit
(90% CI)
Upper reference limit
(90% CI)
RIW
95%
NComparison with other published data
lower–upper value (RIW)
Hb (g/L)
Umbilical cord116 (115 to 121)189 (184 to 202)73391146–189 (43)24
135–195 (60)6
48–118 hours147 (139 to 157)218 (213 to 234)71152145–225 (80) capillary6
125–210 (85)11
134–221 (87)5
4 months99 (97 to 101)130 (128 to 132)31352103–141 (38)25
97–133 (36)5
95–135 (40)6
12 months104 (99 to 106)134 (131 to 139)30188113–141 (28)25
107–134 (27)4
100–135 (35)5
105–135 (30)6
Adult RIWomen 117–153 (36), men 134–170 (36)37
Haematocrit (L/L)
Umbilical cord0.36 (0.35 to 0.37)0.57 (0.56 to 0.59)0.213910.44–0.58 (0.14)24
0.42–0.60 (0.18)6
48–118 hours0.42 (0.39 to 0.44)0.62 (0.60 to 0.65)0.201520.45–0.67 (0.22) capillary6
0.35–0.60 (0.25)11
0.38–0.64 (0.26)5
4 months0.29 (0.28 to 0.29)0.37 (0.37 to 0.38)0.083470.32–0.44 (0.12)25
0.28–0.40 (0.12)5
0.29–0.41 (0.12)6
12 months0.31 (0.30 to 0.31)0.39 (0.39 to 0.41)0.081880.33–0.41 (0.08)25
0.30–0.39 (0.09)4
0.29–0.40 (0.11)5
0.33–0.39 (0.06)6
Adult RIWomen 0.35–0.46 (0.11), men 0.39–0.50 (0.11)37
MCV (fL)
Umbilical cord97 (95 to 98)118 (117 to 120)21391102–118 (16)24
98–118 (20)6
48–118 hours91 (85 to 92)107 (105 to 115)16152101–119 (18)26
91–116 (25)5
95–121 (26) capillary6
4 months71 (69 to 72)85 (84 to 86)1434776–97 (21)25
70–90 (20)5
74–108 (34)6
12 months70 (69 to 71)83 (82 to 84)1318871–85 (14)25
72–85 (13)4
68–86 (18)5
70–86 (16)6
Adult RI82–98 (16)37
MCHC (g/L)
Umbilical cord303 (300 to 310)352 (350 to 354)49391306–342 (36)24
300–360 (60)6
48–118 hours343 (339 to 345)372 (367 to 373)29152305–378 (73)5
290–370 (80) capillary6
4 months328 (327 to 331)363 (360 to 365)35347312–372 (60)5
300–360 (60)6
12 months323 (323 to 326)353 (352 to 355)30188321–365 (44)25
330–380 (50)4
312–370 (58)5
300–360 (60)6
Adult RI317–357 (40)37
MCH (pg)
Umbilical cord32 (31 to 33)39 (38 to 39)739133–38 (5)24
31–37 (6)6
48–118 hours32 (31 to 33)38 (37 to 40)615234–40 (6)26
32–38 (6)5
31–37 (6)6
4 months24 (23 to 25)29 (29 to 30)534726–30 (4)26
24–30 (6)5
25–35 (10)6
12 months23 (23 to 24)28 (28 to 29)518824–30 (6)25
25–31 (6)4
23–29 (6)5
23–31 (8)6
Adult RI27–33 (6)37
RET (×109/L)
Umbilical cord99 (91 to 106)240 (229 to 267)14139199–228 (129)24
48–118 hours79 (67 to 95)275 (250 to 300)19615224–124 (100)27
97–316 (219)26
218–419 (201)6
4 months20 (17 to 22)65 (62 to 68)4534734–83 (49)27
25–82 (57)26
12 months18 (11 to 20)66 (59 to 95)4818734–83 (49)27
27–98 (71)30
18–65 (47)38
Adult RI28–120 (92)37
RBC (×1012/L)
Umbilical cord3.4 (3.1 to 3.5)5.4 (5.3 to 5.4)2.03913.9–5.5 (1.6)6
48–118 hours4.2 (3.7 to 4.4)6.2 (6.1 to 6.9)2.01524.1–7.1 (3.0)26
3.9–6.2 (2.3)5
4.0–6.6 (2.6) capillary6
4 months3.6 (3.4 to 3.7)4.9 (4.8 to 5.0)1.33473.5–5.1 (1.6)25
3.3–5.0 (1.7)5
3.1–4.5 (1.4)6
12 months3.9 (3.9 to 4.0)5.3 (5.1 to 5.4)1.41884.1–5.3 (1.2)25
4.0–5.6 (1.6)4
3.9–5.2 (1.3)5
3.7–5.3 (1.6)6
Adult RIWomen 3.9–5.2 (1.3), men 4.2–5.7 (1.5)37
Ret-He (pg)Data for Ret-He for the County Hospital of Halland cohort have already been published28 but using different reference interval methodology. Compared with the previous study, we here use alternative exclusion criteria, include the Karolinska University Hospital cohort, harmonise calculations using robust statistical methodology and add calculations of 90% CIs to cohere with current guidelines.
Umbilical cord28 (27 to 28)39 (38 to 40)1138827–36 (9)28
48–118 hours28 (25 to 29)38 (37 to 41)1015231–37 (6)26
28–38 (10)28
4 months25 (22 to 26)34 (33 to 34)934627–32 (5)26
26–33 (8)28
12 months24 (21 to 25)33 (33 to 36)918726–33 (8)30
25–34 (9)28
28–33 (6)29
Adult RI28–35 (7)39
  • Lower and upper reference limits calculated as the 2.5th and 97.5th percentiles from N individuals. RIWs, reference limits published elsewhere and values for adults are shown for comparison.

  • Hb, haemoglobin; MCH, mean cell haemoglobin; MCHC, mean cell haemoglobin concentration; MCV, mean cell volume; RBC, red blood cell; RET, reticulocyte count; Ret-He, reticulocyte haemoglobin equivalent; RIW, reference interval width.