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止血检测的分析前变量。

Preanalytical Variables in Hemostasis Testing.

机构信息

Hemostasis & Thrombosis Center, University of California, Davis Health System, Sacramento, CA, USA.

出版信息

Methods Mol Biol. 2023;2663:39-50. doi: 10.1007/978-1-0716-3175-1_2.

DOI:10.1007/978-1-0716-3175-1_2
PMID:37204702
Abstract

Hemostasis testing performed in clinical laboratories are critical for assessing hemorrhagic and thrombotic disorders. The assays performed can be used to provide the information required for diagnosis, risk assessment, efficacy of therapy, and therapeutic monitoring. As such, hemostasis tests should be performed to the highest level of quality, including the standardization, implementation, and monitoring of all phases of the testing, which include the preanalytical, analytical, and post-analytical phases. It is well established that the preanalytical phase is the most critical component of the testing process, being the hands-on activities, including patient preparation for blood collection, as well as the actual blood collection, including sample identification and the post-collection handling to include sample transportation, processing, and storage of samples when testing is not performed immediately. The purpose of this article is to provide an update to the previous edition of coagulation testing-related preanalytical variables (PAV) and, when properly addressed and performed, can reduce the most common causes of errors in the hemostasis laboratory.

摘要

临床实验室进行的止血检测对于评估出血和血栓形成障碍至关重要。所进行的检测可用于提供诊断、风险评估、治疗效果和治疗监测所需的信息。因此,止血检测应达到最高质量水平,包括检测所有阶段(包括分析前、分析中和分析后阶段)的标准化、实施和监测。已充分证实,分析前阶段是检测过程中最关键的组成部分,涉及到实操活动,包括患者采血前的准备,以及实际采血,包括样本标识和采集后的处理,包括样本运输、处理和储存,当不能立即进行检测时。本文的目的是提供凝血检测相关分析前变量(PAV)的上一版本更新,并在正确处理和执行时,可以减少止血实验室中最常见的错误原因。

相似文献

1
Preanalytical Variables in Hemostasis Testing.止血检测的分析前变量。
Methods Mol Biol. 2023;2663:39-50. doi: 10.1007/978-1-0716-3175-1_2.
2
Preanalytical Issues in Hemostasis and Thrombosis Testing.止血与血栓形成检测中的分析前问题
Methods Mol Biol. 2017;1646:29-42. doi: 10.1007/978-1-4939-7196-1_2.
3
Post-analytical Issues in Hemostasis and Thrombosis Testing: An Update.止血和血栓形成检测的分析后问题:更新。
Methods Mol Biol. 2023;2663:787-811. doi: 10.1007/978-1-0716-3175-1_53.
4
Quality standards for sample processing, transportation, and storage in hemostasis testing.止血检测中样本处理、运输和存储的质量标准。
Semin Thromb Hemost. 2012 Sep;38(6):576-85. doi: 10.1055/s-0032-1319768. Epub 2012 Jun 16.
5
Review of coagulation preanalytical variables with update on the effect of direct oral anticoagulants.凝血分析前变量综述及直接口服抗凝剂作用的最新进展
Int J Lab Hematol. 2021 Jul;43 Suppl 1:109-116. doi: 10.1111/ijlh.13585.
6
Critical pre-examination variables in the hemostasis laboratory and their quality indicators.止血实验室中的关键检验前变量及其质量指标。
Clin Biochem. 2016 Dec;49(18):1315-1320. doi: 10.1016/j.clinbiochem.2016.08.022. Epub 2016 Sep 7.
7
Preanalytical and postanalytical variables: the leading causes of diagnostic error in hemostasis?分析前和分析后变量:止血诊断错误的主要原因?
Semin Thromb Hemost. 2008 Oct;34(7):612-34. doi: 10.1055/s-0028-1104540. Epub 2008 Dec 15.
8
Patient safety and quality in laboratory and hemostasis testing: a renewed loop?实验室和止血检测中的患者安全和质量:一个新的循环?
Semin Thromb Hemost. 2012 Sep;38(6):553-8. doi: 10.1055/s-0032-1315960. Epub 2012 Jun 2.
9
Blood venous sample collection: Recommendations overview and a checklist to improve quality.静脉血样采集:建议概述及提高质量的检查表
Clin Biochem. 2017 Jul;50(10-11):568-573. doi: 10.1016/j.clinbiochem.2017.02.021. Epub 2017 Feb 27.
10
Post-analytical Issues in Hemostasis and Thrombosis Testing.止血与血栓形成检测中的分析后问题
Methods Mol Biol. 2017;1646:545-559. doi: 10.1007/978-1-4939-7196-1_40.

本文引用的文献

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Guidance on the critical shortage of sodium citrate coagulation tubes for hemostasis testing.关于止血检测用柠檬酸钠凝血管严重短缺的指导意见。
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Review of coagulation preanalytical variables with update on the effect of direct oral anticoagulants.
凝血分析前变量综述及直接口服抗凝剂作用的最新进展
Int J Lab Hematol. 2021 Jul;43 Suppl 1:109-116. doi: 10.1111/ijlh.13585.
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Reducing neonatal phlebotomy blood losses through the accurate calculation of minimum test volume requirements.通过精确计算最低检测量要求来减少新生儿静脉穿刺失血量。
Ann Clin Biochem. 2021 Nov;58(6):593-598. doi: 10.1177/00045632211030953. Epub 2021 Jul 14.
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International Council for Standardisation in Haematology (ICSH) recommendations for collection of blood samples for coagulation testing.国际血液学标准化委员会(ICSH)关于凝血检测采血的建议。
Int J Lab Hematol. 2021 Aug;43(4):571-580. doi: 10.1111/ijlh.13584. Epub 2021 Jun 7.
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Tackling the unknowns in understanding and management of hospital acquired anemia.应对理解和管理医院获得性贫血的未知因素。
Blood Rev. 2021 Sep;49:100830. doi: 10.1016/j.blre.2021.100830. Epub 2021 Mar 26.
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ASH ISTH NHF WFH 2021 guidelines on the diagnosis of von Willebrand disease.ASH ISTH NHF 2021 指南:关于血管性血友病的诊断。
Blood Adv. 2021 Jan 12;5(1):280-300. doi: 10.1182/bloodadvances.2020003265.
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Use of clinical data and acceleration profiles to validate pneumatic transportation systems.使用临床数据和加速度曲线来验证气动输送系统。
Clin Chem Lab Med. 2020 Mar 26;58(4):560-568. doi: 10.1515/cclm-2019-0881.
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Preanalytical Variables in Coagulation Testing: Setting the Stage for Accurate Results.凝血检测的分析前变量:为准确结果奠定基础。
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An update on laboratory assessment for direct oral anticoagulants (DOACs).直接口服抗凝剂(DOACs)实验室检测的最新进展。
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