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DELAY IN SAMPLE ANALYSIS - DOES IT AFFECT THE STABILITY OF ELECTROLYTES

POONGODI G

Abstract


ABSTRACT AIM To determine the effect of                   immediate separation versus delayed separation of serum on electrolyte analysis. MATERIALS AND METHODS 40 blood samples have been drawn in triplicates and brought to the           laboratory. First batch of samples, the control sera separated from clot within 30 minutes of collection and analysed for            sodium and potassium . Second batch of samples was                  centrifuged and processed after three hours and third batch of samples after six hours at room temperature respectively .The stability of analyte was determined by comparing the test values at 3hr and 6hr with the values from 30 minute sample.                 STATISTICS Anova test was used to compare the values of sodium and potassium at T0(30MIN), T3(3hr), T6(6hr)          RESULTS The mean sodium and potassium concentration within 30minutes, 3hr and 6hr are 135.25 2.164mmolL and 4.042 0.339mmolL, 136.025 2.150mmolL and 4.167 0.326mmolL and 136.275 2.291mmolL and 4.232 0.333mmolL. p value for sodium is 0.41 which is not statistically significant and potassium is (0.03) which is statistically significant and                ( p value 0.05 considered significant). CONCLUSION The          stability of electrolytes was sensitive to delay in analysis. Thus it is essential that the blood samples to be processed timely, to avoid significant preanalytical errors

 


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References


Joshi A R Variations in serum glucose, urea, creatinine and sodium and potassium as a consequence of delayed transport/processing of samples and delay in assays. J Nep Med Assoc 2006; 45: 186-189

Vishal Kalasker , A. Sudhamadhuri : Effect of serum clot contact time as a major source of preanalytical variation in serum electrolytes International Journal of Research in Health Sciences. Apr–Jun 2015 Volume-3, Issue-2 278

Burtis CA, Ashwood ER, Bruns DE Tietz textbook of clinical chemistry and moleculardiagnostics, 4th Edition chapter-27, page no: 985-986.

Dr.Rashmi rasi datta et al, Effect of temperature and serum–clot contact time on the clinical chemistrylaboratory results Indian Journal of Basic and Applied Medical Research; December 2014: Vol.-4, Issue- 1, P. 356-362

Mario Plebani Errors in clinical laboratories or errors in laboratorymedicine? Clin Chem Lab Med 2006;44(6):750–759.

Dongbo J. Zhang,R.K. Elswick, W. Greg Miller and Jimmy L. Bailey Effect of serum-clot contact time on clinical chemistry laboratory results Clinical Chemistry 44:6 1325–1333 (1998)

Datta RR, Baruah A, Pathak MS, Barman M,Borah MB. Effect of temperature and serum clotcontact time on the clinical chemistry Laboratory results. Ijbamr Dec 2014; 4(1):356-362.

. Burtis CA, Ashwood ER, Bruns DE Tietz Textbook of clinical chemistry and moleculardiagnostics, 4th Edition chapter-2, page no: 56-57

GoodmanJt, VincentJ, RosenJ, Serum potassium changes in blood clots Am J ClinPathol1954; 111-3

Baurah et al: Delaybin sample processing –Major source of preanalytical variation in serum electrolytes journal of clinical

and diagnostic research Dec2014, vol-8 ,issue 12 p1-3,3p

Tanner M, Kent N, Smith B, Fletcher S, Lewer M. Stability of common biochemical analytes in serum gel tubes subjected to various storage temperatures and times pre-centrifugation. Ann Clin Biochem. 2008;45: 375–79


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