Evaluation of three different specimen types (serum, plasma lithium heparin and serum gel separator) for analysis of certain analytes: clinical significance of differences in results and efficiency in use

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Abstract

Background

There is a lack of consensus regarding the most appropriate specimen type for analysis of many biochemistry analytes. The aim of this study was to compare renal and lipid analyte profiles and phenytoin values in plain serum (S), serum gel (G) and plasma (lithium heparin, P) tubes and to investigate the stability of these analytes after prolonged contact with cells or gel at room temperature (RT, 20°C) and as aliquoted and stored at 4°C.

Methods

Primary specimens were centrifuged once, maintained at RT and analysed within 2 h (T0) and after 24 h (T24) and 48 h (T48). For assessment of stability at 48C, two cell-free aliquots were separated from each of the primary tubes and stored at 48C and then analysed at T24 and T48. Differences in analyte concentrations between tubes at T0 and following storage (at T24 and T48) were evaluated for both statistical and clinical significance.

Results

At T0 all analytes, except potassium, demonstrated equivalence between serum, gel and plasma tubes. Potassium and creatinine were more stable in gel tubes than in serum/plasma tubes. In contrast, phentytoin was stable in plain serum and plasma up to T48 at RT, but showed a progressive and clinically significant decrease in concentration in gel tubes at T24 and T48 at RT. All analytes except CO2 were stable up to T48 when aliquoted and stored at 4°C. Conclusions: We concluded that the serum gel tube has advantages over plain serum and plasma tubes for measurement of the analytes investigated in this study, with the exception of phenytoin. In practice, the gel tubes demonstrate enhanced analyte stability and reduce the need to aliquot specimens, with greater protection against possible contamination. Further investigation would be required to evaluate a broader range of analytes.

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