The "EPiQ"-Study (Evaluation of preanalytical quality): S-Monovette® in manual aspiration mode drastically reduces hemolytic samples in head-to-head study.

Autor:	Millius L; HFR Fribourg, Hôpital Cantonal, Fribourg, FR, Switzerland., Riedo E; HFR Fribourg, Hôpital Cantonal, Fribourg, FR, Switzerland., Caron T; HFR Fribourg, Hôpital Cantonal, Fribourg, FR, Switzerland., Belissent J; HFR Fribourg, Hôpital Cantonal, Fribourg, FR, Switzerland., Fellay B; HFR Fribourg, Hôpital Cantonal, Fribourg, FR, Switzerland., Ribordy V; HFR Fribourg, Hôpital Cantonal, Fribourg, FR, Switzerland., Magnin JL; HFR Fribourg, Hôpital Cantonal, Fribourg, FR, Switzerland.
Jazyk:	angličtina
Zdroj:	Practical laboratory medicine [Pract Lab Med] 2021 Jul 28; Vol. 27, pp. e00252. Date of Electronic Publication: 2021 Jul 28 (Print Publication: 2021).
DOI:	10.1016/j.plabm.2021.e00252
Abstrakt:	Background: Hemolytic blood samples are the number one cause for specimen rejection at emergency departments. Triggered by unsuitable blood sampling material or incorrect handling and a related strong vacuum force, hemolytic samples often must be retaken. The objective of this study was to assess whether correct manual aspiration using S-Monovette® could reduce the number of hemolytic samples. Methods: Between January and April 2019, a head-to-head study was conducted. Whereas in the first eight weeks, all specimens were collected using Vacutainer®, in the second eight weeks, blood was taken using S-Monovette® in aspiration mode. Specimens were categorized into five classes (0-30, 31-50, 51-75, 76-100, and 101+ mg/dl of cell-free hemoglobin) and for the statistical analyses, all samples exceeding 30 mg/dl were classified as hemolytic. Results: Data were collected on 4794 blood specimens (Vacutainer®: 2634 samples, S-Monovette®: 2160 samples). While the percentage of non-hemolytic samples (HI of 0-30 mg/dl) was substantially higher for specimens drawn by S-Monovette® (95.7 %) than Vacutainer® (83.0 %), the opposite was true for all HI categories above 30 mg/dl. Importantly, the reduction of hemolytic samples took place immediately following the imposition of S-Monovette® and remained stable at a low level until the end of the study. Conclusions: Based on our results, we conclude that switching to S-Monovette® in manual aspiration mode in the blood sampling process could be highly beneficial, not only from a financial point of view, but also with regards to reducing unnecessary tasks and stress for nursing staff and improving patient outcome overall. Competing Interests: The funding organization played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication. (© 2021 Published by Elsevier B.V.)
Databáze:	MEDLINE
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