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

Reference intervals of extended erythrocyte and reticulocyte parameters.

Author(s): Hoffmann JJ, van den Broek NM, Curvers J

Publication: Clin Chem Lab Med, 2012, Vol. 50, Page 941-8

PubMed ID: 22628338 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of patient gender and age and delayed analysis on erythrocyte and reticulocyte parameters.

Conclusion of Paper

Red blood cell (RBC), hemoglobin (Hb) and reticulocyte counts were unaffected by storage of blood specimens at room temperature, but mean corpuscular volume (MCV) increased with overnight storage of specimens at room temperature, and consequently, increases in hypochromic RBC, macrocytic RBC, and MCV resistance (MCVr), as well as decreases in mean corpuscular hemoglobin (MCH) concentration (MCHC) and MCHC of reticulocytes (MCHCr) were observed. White blood cell (WBC) viability was stable at room temperature for at least 6 h, but then decreased significantly. The authors report that while absolute reticulocyte counts were not significantly different between specimens from males and females, mean Hb, mean RBC and the percentage of reticulocytes were higher in females than males (p<0.001, all). MCV, MCVr, macrocytic RBC, red blood cell distribution width (RDW), MCH and MCH of reticulocyutes (MCHr) tended to increase with patient age, and MCHC and MCHCr tended to decrease with patient age. Reticulocytes were lower in specimens from patients younger than 18 years old compared to counts in specimens from patients who were 18 years old or older.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of patient gender and age and delayed analysis on erythrocyte and reticulocyte parameters. Blood was collected into K2EDTA tubes.

    Summary of Findings:

    RBC, Hb and reticulocyte counts were unaffected by storage of blood specimens at room temperature, but MCV increased with overnight storage at room temperature (p<0.0001), and consequently, increases in hypochromic RBC, macrocytic RBC, and MCVr, as well as decreases in MCHC and MCHCr were observed. WBC viability was stable for at least 6 h at room temperature, but then decreased significantly with longer storage durations (p<0.001). The authors report that while absolute reticulocyte counts were not significantly different between specimens from males and females, mean Hb and RBC and the percentage of reticulocytes were higher in females than males (p<0.001, all). MCV, MCVr, macrocytic RBC, RDW, MCH and MCHr tended to increase with patient age, and MCHC and MCHCr tended to decrease with patient age (p<0.0001, all). Reticulocytes were lower in specimens from patients younger than 18 years old compared to counts in specimens from patients who were 18 years old or older.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Not specified
    Platform:
    AnalyteTechnology Platform
    Cell count/volume Hematology/ auto analyzer
    Protein Hematology/ auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Preaquisition Patient gender Female
    Male
    Preaquisition Patient age 0-5 years
    6-10 years
    11-15 years
    16-20 years
    21-25 years
    26-30 years
    31-35 years
    36-40 years
    41-45 years
    46-50 years
    51-55 years
    56-60 years
    61-65 years
    66-70 years
    71-75 years
    75-80 years
    81-85 years
    86-90 years
    90-95 years
    96-100 years
    Storage Time at room temperature 0 h
    2 h
    4 h
    6 h
    8 h
    10 h
    12 h
    14 h
    16 h
    18 h
    20 h
    22 h
    24 h
    28 h
    32 h
    36 h
    40 h
    44 h
    48 h

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