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. 2016 Feb 15;26(1):17–33. doi: 10.11613/BM.2016.002

Table 2. Preanalytical bias of routine venipuncture.

Venipuncture
factor
Needle gauge Needle type Toruniquet application Body positioning
Lab parameter
23 G vs. 21 G
Winged vs. regular
1 minute
3 minute
Sitting vs. lying
Clinical chemistry
negligible
negligible
Albumin (+1.58%; ±1.3%)
Calcium (+1.6%; ±0.8%)
Chloride (-0.5%; ±0.5%)
Potassium (-2.8%; ±1.8%)
ALT (+15.7%; ±12.0%)
Albumin (+8.6%; ±1.3%)
Calcium (+3.6%; ±0.8%)
Chloride (-1.1%; ±0.5%)
Cholesterol (+9.1%; ±4.0%)
Glucose (-3.7%; ±2.2%)
Iron (+8.8%; ±8.8%)
Potassium (-4.8%; ±1.8%)
Albumin (+2.0%; ±1.4%)
Protein (+2.9%; ±1.4%)
Platelets and coagulation
negligible
negligible
negligible
PT/INR (-3.1%; ±2.0%)
Fibrinogen (+10.1%; ±4.8%)
n.a.
Haematology n.a. negligible WBC (-6.7%; ±5.6%)
RBC (+3.6%; ±1.7%)
Haemoglobin (+3.0%; ±1.8%)
Haematocrit (+3.7%; ±1.7%)
Lymphocytes (-7.9%; ±7.4%)
Monocytes (-14.4%; ±13.2%)
WBC (-10.1%; ±5.6%)
RBC (+7.4%; ±1.7%)
Haemoglobin (+6.2 ; ±1.8%)
Haematocrit (+7.3%; ±1.7%)
Lymphocytes (-10.7%; ±7.4%)
Monocytes (-22.0%; ±13.2%)
Haemoglobin (+2.3%; ±1.8%)
Haematocrit (+1.7%; ±1.7%)

Data in brackets are the actual and desirable bias respectively; “n.a.” indicates factors for which bias was not measured regardless to a significant effect may exist.