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.