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

The order of draw: myth or science?

Author(s): Salvagno G, Lima-Oliveira G, Brocco G, Danese E, Guidi GC, Lippi G

Publication: Clin Chem Lab Med, 2013, Vol. 51, Page 2281-5

PubMed ID: 23846149 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of draw order on potassium, sodium, calcium, magnesium, and phosphorus in serum from tubes collected before and after K2EDTA or sodium citrate tubes.

Conclusion of Paper

There were no statistically significant differences in any of the measured analytes between serum tubes collected first and those collected third, after collection of a second specimen in either a K2EDTA or a sodium citrate tube.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of draw order on potassium, sodium, calcium, magnesium, and phosphorus in serum from tubes collected before and after K2EDTA or sodium citrate tubes. 115 sets of specimens from healthy patients and those on oral anticoagulant therapy were included in this study. Serum was collected into Venosafe serum tubes containing clot activator and gel separator.

    Summary of Findings:

    There were no statistically significant differences in any of the measured analytes between serum tubes collected first and those collected third, after collection of a second specimen in either a K2EDTA or a sodium citrate tube.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Normal
    • Other diagnoses
    Platform:
    AnalyteTechnology Platform
    Electrolyte/Metal Clinical chemistry/auto analyzer
    Small molecule Clinical chemistry/auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Preaquisition Diagnosis/ patient condition Healthy
    On oral anticoagulants
    Biospecimen Aliquots and Components Aliquot sequential collection 1st collection
    3rd collection
    Biospecimen Acquisition Type of collection container/solution Serum tube with gel separator and clot activator
    K2EDTA tube
    Sodium citrate tube

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