Background: It is customary to assume that pre-analytical variation is negligible if all pre-analytical sources of variation have been standardised. The aim of this study was to quantify the pre-analytical variation of some haematological quantities frequently measured in clinical laboratories.
Methods: The experimental design considers different sources of pre-analytical variation that usually occur day-to-day for samples from patients.
Results: The results demonstrate that for concentrations of erythrocytes, haemoglobin, leukocytes, neutrophilocytes (segmented) and lymphocytes, and for the volume fraction of erythrocytes ("packed cell volume") in blood, the pre-analytical variance is not negligible.
Conclusions: We suggest that these variances should be taken into account when estimating the uncertainty of measurement for patient results.
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http://dx.doi.org/10.1515/CCLM.2008.229 | DOI Listing |
Clin Chem Lab Med
December 2024
Department of Medicine, University Hospital Knappschaftskrankenhaus Bochum GmbH, Ruhr-University Bochum, Bochum, Germany.
Objectives: Diurnal variation of plasma glucose levels may contribute to diagnostic uncertainty. The permissible time interval, (), was proposed as a time-dependent characteristic to specify the time within which glucose levels from two consecutive samples are not biased by the time of blood collection. A major obstacle is the lack of population-specific data that reflect the diurnal course of a measurand.
View Article and Find Full Text PDFClin Chim Acta
February 2025
Department of Laboratory Medicine, The Netherlands Cancer Institute, Amsterdam, the Netherlands; Self Safe Sure Blood Collections B.V., Amsterdam, the Netherlands. Electronic address:
Background: There is a growing interest in self-collection of blood for clinical applications. Next to allowing patients to self-sample blood, adequate sample stability of the analyte is essential to provide an accurate and reliable test result. This is particularly important for self-collected blood, as the transport of the sample to the clinical laboratory will generally require significantly more time than routine blood samples collected by healthcare professionals, and under less controlled circumstances.
View Article and Find Full Text PDFAnn Nutr Metab
September 2024
Department of Laboratory Medicine, Peking Union Medical College Hospital, Peking Union Chinese Academy of Medical Sciences, Beijing, China.
J Clin Med
September 2024
Division of Laboratory Medecine, Diagnostic Department, Geneva University Hospitals and Faculty of Medicine, 1205 Geneva, Switzerland.
: In EDTA-induced pseudothrombopenia, citrate or MgSO are recommended for platelet counting. Pre-analytical conditions are poorly defined for tubes containing MgSO or citrate. In this study, we analyzed the impact of agitation of these tubes on platelet counts.
View Article and Find Full Text PDFMetabolites
August 2024
Division of Nephrology, Department of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.
Discrepant sample processing remains a significant challenge within blood metabolomics research, introducing non-biological variation into the measured metabolome and biasing downstream results. Inconsistency during the pre-analytical phase can influence experimental processes, producing metabolome measurements that are non-representative of in vivo composition. To minimize variation, there is a need to create and adhere to standardized pre-analytical protocols for blood samples intended for use in metabolomics analyses.
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