Controlled storage conditions prolong stability of biochemical components in whole blood
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Marta Stahl
und Ivan Brandslund
Abstract
Blood specimens from primary care centres are normally transported to central laboratories by mail. This necessitates centrifugation and separation, especially since the potassium ion concentration in whole blood changes during storage at ambient temperature. Thus, because of the growing awareness of and concern for pre-analytical contributions to the uncertainty of measurements, we investigated 27 components and their stability under controlled temperature conditions from 17 to 23°C. We found that storage of whole blood can be prolonged by up to 8–12h for all components examined, including potassium ions, when stored at 20±0.2°C. We conclude that this opens the possibility for establishing a pick-up service, by which whole blood specimens stored at 20–21°C can be collected at the doctor's office, making centrifugation, separation and mailing superfluous. In addition, the turn-around time from sample drawing to reporting the analytical result would be shortened. After investments in thermostatted boxes and logistics, the system could reduce costs for transporting blood samples from general practice centres to central laboratories.
References
1 Zawta B. Quality requirements for the stability of analytes. In: Proceedings of a Symposium on the Impact of the Pre-analytical Phase of Laboratory Results, Oxford, UK, 5–7 July 1996:28. Suche in Google Scholar
2 Guder WG, Narayanan S, Wisser H, Zawta B. Samples: from the patient to the laboratory, 3rd ed. Darmstadt: Wiley VCH, 2003. Suche in Google Scholar
3 Gowans EM, Hyltoft Petersen P, Blaabjerg O, Hørder M. Analytical goals for the acceptance of common reference intervals for laboratories throughout a geographic area. Scand J Clin Lab Invest 1988; 48: 757–64. 10.3109/00365518809088757Suche in Google Scholar PubMed
4 Fraser Callum G, Hyltoft Petersen P, Libeer JC, Ricos C. Proposals for setting generally applicable quality goals solely based on biology. Ann Clin Biochem 1997; 34: 8–12. 10.1177/000456329703400103Suche in Google Scholar PubMed
5 Stahl M, Jørgensen LG, Hyltoft Petersen P, Brandslund I, de Olivarius F, Borch-Johnsen K. Optimization of pre-analytical conditions and analysis of plasma glucose: impact of the new WHO and ADA recommendations on diagnosis of diabetes mellitus. Scand J Clin Lab Invest 2001; 61: 169–80. 10.1080/003655101300133612Suche in Google Scholar PubMed
6 Nybo M, Bo Hansen A, Pedersen B, Jørgensen PJ, Risom Kristensen S. Præanalytisk variation af P-Kalium-ion – relevans for primærsektoren? Klin Biokem Nord 2004; 1: 16–22. Suche in Google Scholar
7 Seamark D, Backhouse S, Barber P, Hichens J, Salzmann M, Powell R. Transport and temperature effects on measurement of serum and plasma potassium. J R Soc Med 1999; 92: 339–41. 10.1177/014107689909200703Suche in Google Scholar PubMed PubMed Central
8 Bonini P, Plebani M, Ceriotti F, Rubboli F. Errors in laboratory medicine. Clin Chem 2002; 48: 691–8. 10.1093/clinchem/48.5.691Suche in Google Scholar
9 Jenny RW, Jackson-Tarentino KY. Causes of unsatisfactory performance in proficiency testing. Clin Chem 2000; 46: 89–99. 10.1093/clinchem/46.1.89Suche in Google Scholar
10 Stahl M, Lund ED, Brandslund I. Reasons for laboratory's inability to report results for requested analytical tests. Clin Chem 1998; 44: 2195–7. 10.1093/clinchem/44.10.2195Suche in Google Scholar
11 Felding P, Hyltoft Petersen P, Hørder M. The stability of blood, plasma and serum constituents during simulated transport. Scand J Lab Invest 1981; 41: 35–40. 10.3109/00365518109092012Suche in Google Scholar PubMed
12 Bauer K, Worofka B, Kittl EM, Hofmann J. Blood sampling and sample transportation in a hospital – an approach to general improvement and quality assurance. In: Symposium on the Impact of the Pre-analytical Phase on the Quality of Laboratory Results, Oxford, July 1996:21. Suche in Google Scholar
13 Berg B, Estborn B, Tryding N. Stability of serum and blood constituents during mail transport. Scand J Clin Lab Invest 1981; 41: 425–30. 10.3109/00365518109090479Suche in Google Scholar PubMed
14 Heins M, Heil W, Withold W. Storage of serum or whole blood samples? Effects of time and temperature on 22 serum analytes. Eur J Clin Chem Clin Biochem 1995; 33: 231–8. 10.1515/cclm.1995.33.4.231Suche in Google Scholar PubMed
15 Hyltoft Petersen P, Brandslund I, Jørgensen LG, Stahl M, de Olivarius F, Borch-Johnsen K. Evaluation of systematic and random factors in measurements of fasting plasma glucose as the basis for analytical quality specifications in the diagnosis of diabetes. 3. The impact of ADA and WHO recommendations on diagnosis of diabetes. Scand J Clin Lab Invest 2001; 61: 191–204. Suche in Google Scholar
16 Hyltoft Petersen P, Fraser CG, Jørgensen LG, Brandslund I, Stahl M, Gowans E, et al. Combination of analytical quality specifications based on biological within- and between-subject variation. Ann Clin Biochem 2002; 39: 543–50. 10.1177/000456320203900601Suche in Google Scholar PubMed
©2005 by Walter de Gruyter Berlin New York
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- Optimization and evaluation of surface-enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF MS) with reversed-phase protein arrays for protein profiling
- Simultaneous determination of HIV antibodies, hepatitis C antibodies, and hepatitis B antigens in dried blood spots –a feasibility study using a multi-analyte immunoassay
- Hematopoietic cytokines in the sera of patients with pancreatic cancer
- Modulation of translation factor's gene expression by histone deacetylase inhibitors in breast cancer cells
- Whole genome amplification of buccal cell DNA: genotyping concordance before and after multiple displacement amplification
- Y-Chromosome short tandem repeat (STR) haplotypes in a Campania population sample
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