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

Comparison of two blood sampling methods in anticoagulation therapy: venipuncture and peripheral venous catheter.

Author(s): Zengin N, Enç N

Publication: J Clin Nurs, 2008, Vol. 17, Page 386-93

PubMed ID: 17394539 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to compare prothrombin time (PT) and activated partial thromboplastin time (APTT) between specimens obtained by venipuncture and through a peripheral venous catheter.

Conclusion of Paper

Specimens obtained through a 20-gauge catheter had significantly shorter APTTs than venipuncture specimens. In addition, when specimens were evaluated based on the day of sampling according to catheter placement, specimens obtained with both 18 and 20-gauge peripheral venous catheters had significantly shorter APTTs than venipuncture specimens on the first day of the catheter, while no differences were seen for any gauge catheter on the second day. No differences were observed in PT between peripheral venous catheter specimens and venipuncture specimens, regardless of catheter gauge or day of sampling.

Studies

  1. Study Purpose

    The purpose of this study was to compare PT and APTT between specimens obtained by venipuncture and through a peripheral venous catheter from patients undergoing anticoagulation therapy.

    Summary of Findings:

    While there were no significant differences in APTT between venipuncture specimens and specimens obtained through 18 or 22-gauge peripheral venous catheters, specimens obtained through a 20-gauge catheter had significantly shorter APTTs than venipuncture specimens (39.36 sec versus 40.44 sec). In addition, when specimens were evaluated based on the day of sampling, specimens obtained with both 18 and 20-gauge peripheral venous catheters had significantly shorter APTTs than venipuncture specimens on the first day of the catheter, while no differences were seen for any gauge catheter on the second day. No differences were observed in PT between peripheral venous catheter specimens and venipuncture specimens, regardless of catheter gauge or day of sampling. Discarding 1 or 2 mL of blood from the peripheral venous catheter before specimen collection did not affect APTT or PT values.

    Biospecimens
    Preservative Types
    • None (Fresh)
    Diagnoses:
    • Cardiovascular Disease
    Platform:
    AnalyteTechnology Platform
    Morphology Hematology/ auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Biospecimen Acquisition Method of fluid acquisition Venipuncture
    IV catheter
    Biospecimen Acquisition Cannulation 18-gauge catheter
    20-gauge catheter
    22-gauge catheter
    21-gauge needle (venipuncture)
    Biospecimen Aliquots and Components Aliquot size/volume 1 mL discarded
    2 mL discarded
    Biospecimen Acquisition Time of biospecimen collection 1st day of catheter
    2nd day of catheter

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