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. 2026 Aug 31;37(4):667–676.

Table 1:

Estimated hemolysis index (HI) required for a sample to exceed the clinical ubiquitin carboxy-terminal hydrolase L1 (UCH-L1) threshold of 400 pg/mL, based on a linear increase in UCH-L1 concentration with hemolysis (0.227 × HI).

Baseline UCH-L1 concentration (pg/mL) Required increase in UCH-L1 (pg/mL) Required HI (mg/dL hemoglobin)
150 250 1,101
175 225 991
200 200 881
250 150 661
300 100 441
350 50 220
375 25 110

For each baseline UCH-L1 concentration, the corresponding HI value required to reach 400 pg/mL was calculated. Samples with baseline UCH-L1 concentrations below 175 pg/mL required very high HI values (> 950) to exceed the decision threshold, whereas samples with baseline concentrations of ≥ 300 pg/mL surpassed 400 pg/mL at moderate levels of hemolysis (HI < 450). The calculated increase in UCH-L1 above baseline (shown in the middle column) represents the additional concentration required to reach the pathological cut-off.