Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count

High blood sample rejection rate is a prominent issue faced by hematology laboratories these days due to insufficient sample collection especially in pediatric, geriatric and oncology patients where venous access is difficult. Under-filled blood collection tubes affect the blood-to-anticoagulant...

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Main Author: Karunanithi, Laavanya
Format: Monograph
Language:en
Published: Universiti Sains Malaysia 2025
Subjects:
Online Access:http://eprints.usm.my/63371/1/LAAVANYA%20KARUNANITHI-E.pdf
http://eprints.usm.my/63371/
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author Karunanithi, Laavanya
author_facet Karunanithi, Laavanya
author_sort Karunanithi, Laavanya
building Hamzah Sendut Library
collection Institutional Repository
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
continent Asia
country Malaysia
description High blood sample rejection rate is a prominent issue faced by hematology laboratories these days due to insufficient sample collection especially in pediatric, geriatric and oncology patients where venous access is difficult. Under-filled blood collection tubes affect the blood-to-anticoagulant ratio negatively leading to inaccurate results. This study evaluated the accuracy and reliability of complete blood count, reticulocyte count and white blood cell differential count parameters from under-filled blood collection tubes compared to standard volumes tubes. In this study, the aim is to compare hematological parameters across different collection volumes; 0.5 ml, 1.0 ml, 1.5 ml, and 2.0 ml in 2.0 ml standard lavender top K2EDTA tubes. The results have shown that most parameters remain consistent and were within clinically acceptable ranges in volumes as low as 1.5 ml. Some parameters, such as red blood cell (x1012/l), hematocrit (%) and lymphocyte (x109/l) remain stable even at 1.0 ml. This excludes hemoglobin, which has significant differences to all lower volumes. Therefore, under-filled tubes may be used as an alternative, reducing sample rejections and reducing overall healthcare costs. Future studies should include diverse populations and different analysers to support the findings
format Monograph
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institution Universiti Sains Malaysia
language en
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publisher Universiti Sains Malaysia
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spelling my.usm.eprints.63371 http://eprints.usm.my/63371/ Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count Karunanithi, Laavanya R Medicine RC666-701 Diseases of the circulatory (Cardiovascular) system High blood sample rejection rate is a prominent issue faced by hematology laboratories these days due to insufficient sample collection especially in pediatric, geriatric and oncology patients where venous access is difficult. Under-filled blood collection tubes affect the blood-to-anticoagulant ratio negatively leading to inaccurate results. This study evaluated the accuracy and reliability of complete blood count, reticulocyte count and white blood cell differential count parameters from under-filled blood collection tubes compared to standard volumes tubes. In this study, the aim is to compare hematological parameters across different collection volumes; 0.5 ml, 1.0 ml, 1.5 ml, and 2.0 ml in 2.0 ml standard lavender top K2EDTA tubes. The results have shown that most parameters remain consistent and were within clinically acceptable ranges in volumes as low as 1.5 ml. Some parameters, such as red blood cell (x1012/l), hematocrit (%) and lymphocyte (x109/l) remain stable even at 1.0 ml. This excludes hemoglobin, which has significant differences to all lower volumes. Therefore, under-filled tubes may be used as an alternative, reducing sample rejections and reducing overall healthcare costs. Future studies should include diverse populations and different analysers to support the findings Universiti Sains Malaysia 2025-01 Monograph NonPeerReviewed application/pdf en http://eprints.usm.my/63371/1/LAAVANYA%20KARUNANITHI-E.pdf Karunanithi, Laavanya (2025) Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count. Project Report. Universiti Sains Malaysia. (Submitted)
spellingShingle R Medicine
RC666-701 Diseases of the circulatory (Cardiovascular) system
Karunanithi, Laavanya
Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count
title Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count
title_full Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count
title_fullStr Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count
title_full_unstemmed Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count
title_short Impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count
title_sort impact of under-filled k2edta coated blood collection tube on test results of complete blood count, reticulocyte count and white blood cell differential count
topic R Medicine
RC666-701 Diseases of the circulatory (Cardiovascular) system
url http://eprints.usm.my/63371/1/LAAVANYA%20KARUNANITHI-E.pdf
http://eprints.usm.my/63371/
url_provider http://eprints.usm.my/