Comparison of three different protocols for obtaining hemolysis. 2022

Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
Working Group for Preanalytical Phase of the Croatian Society of Medical Biochemistry and Laboratory Medicine, Zagreb, Croatia.

Hemolysis is associated with erroneous or delayed results. Objectives of the study were to compare four different methods for obtaining hemolysis in vitro on three different analyzers. Hemolysis was prepared with addition of pure hemoglobin into serum pool, osmotic shock, aspiration through blood collection needle, freezing/thawing of whole blood. Biochemistry parameters were measured in duplicate at Architect c8000 (Abbott, Abbott Park, USA), Beckman Coulter AU680 (Beckman Coulter, Brea, USA) and Cobas 6000 c501 (Roche, Mannheim, Germany), according to manufacturers' declarations. Cut-off value was defined as the highest value of H index with corresponding bias lower than acceptance criteria. We were not able to obtain results with freezing protocol. On all three platforms, lowest number of analytes were sensitive to hemolysis at H=0.5 using method of adding free hemoglobin. When osmotic shock was used, cut-off values for the most analytes were generally met at lower values. Hemolysis significantly interfered with measurement of potassium and lactate dehydrogenase (LD) at H=0.5 on all platforms. The most of the tested analytes had the lowest acceptable H index when aspiration method was used. At the low level of hemolysis (H=0.8) glucose, sodium, potassium, chloride, phosphate, and LD were affected on all analyzers, with some additional analytes depending on the manufacturer. Hemolysis interference differs on different analyzers and according to protocol for obtaining hemolysis. Aspiration method was generally the most sensitive to hemolysis interference, while addition of free Hb was the most resistant.

UI MeSH Term Description Entries
D006403 Hematologic Tests Tests used in the analysis of the hemic system. Blood Tests,Hematologic Test,Hematological Tests,Test, Hematologic,Tests, Hematologic,Blood Test,Hematological Test,Test, Blood,Test, Hematological,Tests, Blood,Tests, Hematological
D006454 Hemoglobins The oxygen-carrying proteins of ERYTHROCYTES. They are found in all vertebrates and some invertebrates. The number of globin subunits in the hemoglobin quaternary structure differs between species. Structures range from monomeric to a variety of multimeric arrangements. Eryhem,Ferrous Hemoglobin,Hemoglobin,Hemoglobin, Ferrous
D006461 Hemolysis The destruction of ERYTHROCYTES by many different causal agents such as antibodies, bacteria, chemicals, temperature, and changes in tonicity. Haemolysis,Extravascular Hemolysis,Intravascular Hemolysis,Extravascular Hemolyses,Haemolyses,Hemolyses, Extravascular,Hemolyses, Intravascular,Hemolysis, Extravascular,Hemolysis, Intravascular,Intravascular Hemolyses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012964 Sodium A member of the alkali group of metals. It has the atomic symbol Na, atomic number 11, and atomic weight 23. Sodium Ion Level,Sodium-23,Ion Level, Sodium,Level, Sodium Ion,Sodium 23
D044967 Serum The clear portion of BLOOD that is left after BLOOD COAGULATION to remove BLOOD CELLS and clotting proteins. Blood Serum,Serum, Blood,Serums

Related Publications

Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
August 2019, BMC veterinary research,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
January 2013, Cryo letters,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
June 2012, Journal of endourology,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
October 2012, Transfusion,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
August 1978, The Journal of speech and hearing disorders,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
September 1977, European journal of applied physiology and occupational physiology,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
December 1996, Journal of emergency nursing,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
September 2025, Veterinary sciences,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
March 2021, Scientific reports,
Nora Nikolac Gabaj, and Marijana Miler, and Alen Vrtaric, and Ivana Celap, and Marina Bocan, and Petra Filipi, and Vanja Radisic Biljak, and Ana-Maria Simundic, and Vesna Supak Smolcic, and Marija Kocijancic
December 2022, Australian endodontic journal : the journal of the Australian Society of Endodontology Inc,
Copied contents to your clipboard!