Clinical Laboratory, Department of Clinical Biology, CHU Timone, Marseille, France.
Clin Biochem. 2012 Apr;45(6):464-9. doi: 10.1016/j.clinbiochem.2012.01.012. Epub 2012 Jan 18.
We studied the pre-analytical stability of 81 analytes based on the variables of delay before processing, storage as whole blood or serum/plasma, the storage temperature and the type of tube the sample was stored in.
The mean difference between assays for samples from 10 subjects was calculated with the samples being kept under different storage conditions and for different times between sampling time and analysis: up to 24h for biochemistry, coagulation and hematology, and up to 72 h for hormonology. This difference was compared to the acceptable limits derived from the analytical and the intra individual biological variation.
Most of the analytes investigated remained stable up to 24h under all storage conditions prior to centrifugation. However, some analytes were significantly affected either by delay, tube type or temperature, such as potassium, inorganic phosphorus, magnesium, LD, glucose, lactate, mean corpuscular volume, mean corpuscular hemoglobin, activated partial thromboplastin time, insulin, C-peptide, PTH, osteocalcin, C-telopeptide and ACTH.
This study may be useful to help define acceptable delay times and storage conditions when a short time between sample collection and processing is not possible.
我们研究了 81 种分析物的分析前稳定性,这些分析物基于处理前的延迟时间、全血或血清/血浆储存、储存温度以及样本储存管的类型等变量。
对于 10 个受试者的样本,在不同的储存条件下储存不同的时间,从采样时间到分析的时间最长可达 24 小时(用于生化、凝血和血液学),最长可达 72 小时(用于激素学)。将这种差异与从分析和个体内生物学变异中得出的可接受限制进行比较。
在离心前的所有储存条件下,大多数研究的分析物在 24 小时内保持稳定。然而,一些分析物受到延迟、管类型或温度的显著影响,如钾、无机磷、镁、LD、葡萄糖、乳酸、平均红细胞体积、平均红细胞血红蛋白、活化部分凝血活酶时间、胰岛素、C 肽、甲状旁腺激素、骨钙素、C 端肽和促肾上腺皮质激素。
当在样本采集和处理之间没有较短的时间时,本研究可能有助于确定可接受的延迟时间和储存条件。