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 effect of time between venipuncture, processing and freezing on the measurement of coagulation factor levels.

Author(s): Engbers MJ, Cushman M, Rosendaal FR, Van Hylckama Vlieg A

Publication: J Thromb Haemost, 2012, Vol. 10, Page 1691-3

PubMed ID: 22632130 PubMed Review Paper? No

Purpose of Paper

The purpose of this paper was to determine the effects of storing blood at different temperatures, prior to centrifugation, on measured levels of coagulation factors.

Conclusion of Paper

None of the analytes were affected by a 2.5 h room temperature delay prior to centrifugation, but fibrinogen levels increased and factor (F) VIII levels were decreased when blood specimens were stored on ice for 2.5 h prior to centrifugation compared to those centrifuged within one hour of collection. Levels of prothrombin, antithrombin, factor (F) VIII, FIX, and FXI were unaffected by delaying centrifugation by 2.5 h, regardless of storage temperature.

Studies

  1. Study Purpose

    The purpose of this study was to determine the effects of storing blood for 2.5 h at room temperature or on ice, prior to centrifugation, on measured levels of coagulation factors. Sodium citrate blood was collected from the first venipuncture from 10 patients with a maximum of 25 s tourniquet time. After centrifugation plasma was stored at -80 degrees C until analysis.

    Summary of Findings:

    None of the analytes were affected by a 2.5 h room temperature delay in centrifugation, but fibrinogen levels increased and factor VIII levels were decreased when specimens were stored on ice for 2.5 h prior to centrifugation compared to those centrifuged within the hour. Levels of prothrombin, antithrombin, FVIII, FIX, and FXI were unaffected by delaying centrifugation by 2.5 h, regardless of temperature. The authors report that the changes were similar for individuals with high and low coagulation factor levels.

    Biospecimens
    Preservative Types
    • Frozen
    Diagnoses:
    • Normal
    Platform:
    AnalyteTechnology Platform
    Glycoprotein Hematology/ auto analyzer
    Protein Hematology/ auto analyzer
    Pre-analytical Factors:
    ClassificationPre-analytical FactorValue(s)
    Storage Storage temperature Room temperature (21 degrees C)
    On ice (~4 degrees C)
    Storage Storage duration 0 h
    2.5 h
    Preaquisition Biomarker level High levels coagulation factors
    Low levels of coagulation factors
    Biospecimen Aliquots and Components Centrifugation Centrifugation delays investigated

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