Delay in centrifugation and measurement of serum constituents in normal subjects. 1989

M S Devgun
Department of Biochemistry, Law Hospital, Carluke, UK.

It is a fairly common practice to issue biochemical results of multichannel analysers containing many analytes, irrespective of the number of tests requested by the physician. Abnormal results in such profiles may occur from presentation of artefacted blood samples; it is sometimes not possible to differentiate the abnormality arising as a result of pathological process from that due to a poor sample quality. In this study normal volunteers were studied to examine changes occurring when centrifugation was delayed for a few hours to a few days. Analyses on stored serum samples over the same period were also studied. If haemolysis is present, lactate dehydrogenase (hydroxybutyrate dehydrogenase), aspartate transaminase, potassium, chloride, bicarbonate, phosphate and creatinine estimations are not valid. Accurate data, however, can be obtained on sodium, urea, proteins, albumin, alkaline phosphatase and gammaglutamyl transferase. The very concept of efficient and cost-effective testing by multichannel profiles may generate further unnecessary investigations with a consequent waste of health service resources if pre-analytical factors are not taken into consideration.

UI MeSH Term Description Entries
D008297 Male Males
D001774 Blood Chemical Analysis An examination of chemicals in the blood. Analysis, Blood Chemical,Chemical Analysis, Blood,Analyses, Blood Chemical,Blood Chemical Analyses,Chemical Analyses, Blood
D001815 Bloodletting Puncture of a vein to draw blood for therapeutic purposes. Bloodletting therapy has been used in Talmudic and Indian medicine since the medieval time, and was still practiced widely in the 18th and 19th centuries. Its modern counterpart is PHLEBOTOMY.
D002498 Centrifugation Process of using a rotating machine to generate centrifugal force to separate substances of different densities, remove moisture, or simulate gravitational effects. It employs a large motor-driven apparatus with a long arm, at the end of which human and animal subjects, biological specimens, or equipment can be revolved and rotated at various speeds to study gravitational effects. (From Websters, 10th ed; McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013048 Specimen Handling Procedures for collecting, preserving, and transporting of specimens sufficiently stable to provide accurate and precise results suitable for clinical interpretation. Specimen Collection,Collection, Specimen,Collections, Specimen,Handling, Specimen,Handlings, Specimen,Specimen Collections,Specimen Handlings
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

Related Publications

M S Devgun
December 1987, Hua xi yi ke da xue xue bao = Journal of West China University of Medical Sciences = Huaxi yike daxue xuebao,
M S Devgun
December 1990, Pacing and clinical electrophysiology : PACE,
M S Devgun
November 1962, Indian journal of medical sciences,
M S Devgun
September 1978, The West Indian medical journal,
M S Devgun
December 1966, The Medical journal of Australia,
M S Devgun
November 1979, Journal of the Medical Association of Thailand = Chotmaihet thangphaet,
M S Devgun
October 1958, Sbornik lekarsky,
M S Devgun
January 1961, Polskie Archiwum Medycyny Wewnetrznej,
Copied contents to your clipboard!