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

Venous and skin puncture blood counts compared.

Author(s): Bellamy GJ, Hinchliffe RF

Publication: Clin Lab Haematol, 1988, Vol. 10, Page 329-34

PubMed ID: 3180699 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of obtaining blood by skin prick rather than venipuncture and sequential collection on hemoglobin, red blood cell counts, hematocrit, neutrophil counts, platelet counts, and white blood cell counts.

Conclusion of Paper

While average values for hemoglobin, red blood cell counts, hematocrit, and neutrophil counts were significantly higher in blood specimens obtained by skin prick as compared to those obtained by venipuncture, there were virtually no clinically important differences among individual paired specimens. The percentage of platelets in skin puncture specimens, relative to venipuncture specimens, was relatively stable between sequentially collected skin puncture specimens.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of obtaining blood by skin prick rather than venipuncture and sequential collection on hemoglobin, red blood cell counts, hematocrit, neutrophil counts, platelet counts, and white blood cell counts in children with leukemia and other illness and among healthy adults. Skin puncture specimens were obtained about 2 hours prior to venipuncture specimens, and all specimens were collected in EDTA tubes.

    Summary of Findings:

    For both children and adults, average values for hemoglobin, hematocrit, red blood cell counts, and neutrophil counts were significantly higher in blood specimens obtained by skin prick as compared to those obtained by venipuncture. In addition, platelet counts were insignificantly lower and white blood cell counts were insignificantly higher in skin prick specimens. In the majority of individual cases, there were no clinically important differences in cell counts. Individual hemoglobin values were more variable among the specimens drawn from sick children compared to those from healthy adults. The percentage platelets in skin puncture specimens, relative to venipuncture specimens, was relatively stable between sequentially collected skin puncture specimens.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Normal
    • Other diagnoses
    • Neoplastic - Leukemia
    Platform:
    AnalyteTechnology Platform
    Cell count/volume Hematology/ auto analyzer
    Protein Hematology/ auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Method of fluid acquisition Venipuncture
    Finger/heel prick sampling
    Biospecimen Aliquots and Components Aliquot sequential collection 1st collection
    2nd collection
    3rd collection
    4th collection
    5th collection
    Preaquisition Patient age Adult
    6 months-14 years old
    Preaquisition Diagnosis/ patient condition Anemia
    Hodgkin's disease
    Chest infection
    Biospecimen Acquisition Anatomical location of blood draw Capillary
    Vein

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