NIH, National Cancer Institute, Division of Cancer Treatment and Diagnosis (DCTD) NIH - National Institutes of Health National Cancer Institute DCTD - Division of Cancer Treatment and Diagnosis

Pneumatic tube system induced haemolysis: assessing sample type susceptibility to haemolysis.

Author(s): Sodi R, Darn SM, Stott A

Publication: Ann Clin Biochem, 2004, Vol. 41, Page 237-40

PubMed ID: 15117440 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of collection container and pneumatic tube system (PTS) transport on hemolysis in blood specimens.

Conclusion of Paper

The median hemolysis index (HI) of specimens transported by PTS rather than hand-delivered was significantly higher when specimen were collected in plain serum tubes, 13 mm serum-gel tubes, or potassium EDTA (K-EDTA) tubes, and HI was significantly lower when specimens were collected in fluoride EDTA tubes and were transported by PTS. However, only specimens transported by PTS in plain serum tubes exceeded the hemolysis threshold of 31. Significantly higher HI were observed when specimens were collected in 13 mm serum gel tubes rather than 16 mm serum gel tubes, regardless of transport method.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of collection container and PTS transport on hemolysis in blood specimens.

    Summary of Findings:

    The median HI of serum collected in plain serum tubes and transported by PTS was 37, which exceeded the hemolysis threshold of 31 and was significantly higher than the median HI of 4 observed in serum collected in plain serum tubes and transported by porter (p<0.0001). The HI of specimens transported by PTS in 13 mm serum-gel (10), and K-EDTA(6) were significantly higher than when transported by courier (6, p=0.0367, and 2, p=0.0001, respectively). The HI of specimens collected in fluoride-EDTA tubes and transported by PTS were significantly lower than when hand-delivered (6 versus 13, p=0.0021). Significantly higher HI were observed when specimens were collected in 13 mm serum gel tubes rather than 16 mm serum gel tubes and transported by PTS (p=0.046) or hand-delivered (p=0.013).

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Not specified
    Platform:
    AnalyteTechnology Platform
    Morphology Hematology/ auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Within hospital transportation method Hand-delivered
    Pneumatic tube system
    Biospecimen Acquisition Type of collection container/solution Plain serum tube
    16 mm serum-gel tube
    13 mm serum-gel tube
    Biospecimen Acquisition Anticoagulant Fluoride-EDTA
    Lithium heparin
    Potassium EDTA
    None

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