Patient posture for blood collection by venipuncture: recall for standardization after 28 years

ABSTRACT Background: Although data about the effect of posture on routine hematological testing were published 28 years ago, this pre-analytical issue has not been standardized so far. This study was planned to evaluate whether postural changes influence the results of hematology testing. Methods:...

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Main Authors: Gabriel Lima-Oliveira, Gian Cesare Guidi, Gian Luca Salvagno, Elisa Danese, Martina Montagnana, Giuseppe Lippi
Format: Article
Language:English
Published: Elsevier
Series:Revista Brasileira de Hematologia e Hemoterapia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842017000200127&lng=en&tlng=en
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author Gabriel Lima-Oliveira
Gian Cesare Guidi
Gian Luca Salvagno
Elisa Danese
Martina Montagnana
Giuseppe Lippi
author_facet Gabriel Lima-Oliveira
Gian Cesare Guidi
Gian Luca Salvagno
Elisa Danese
Martina Montagnana
Giuseppe Lippi
author_sort Gabriel Lima-Oliveira
collection DOAJ
description ABSTRACT Background: Although data about the effect of posture on routine hematological testing were published 28 years ago, this pre-analytical issue has not been standardized so far. This study was planned to evaluate whether postural changes influence the results of hematology testing. Methods: A complete blood count was performed in 19 healthy volunteers after 25 min in the supine position, 20 min in a sitting position and 20 min stationary standing in an upright position. Results: The change from supine to sitting position caused clinically significant increases in the hemoglobin, hematocrit and red blood cell count. Furthermore, the change from supine to standing caused clinically significant increases in the hemoglobin, hematocrit, red blood cell, leukocyte, neutrophil, lymphocyte, basophil and platelet counts, and mean platelet volume, and that from sitting to standing caused clinically significant increases in hemoglobin, hematocrit, and red blood cell, leukocyte, neutrophil and lymphocyte counts. Conclusion: The results of this investigation provide further support to the notion that effort should be made to achieve widespread standardization in the practice of phlebotomy, including patient posture.
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spelling doaj.art-3cb2a62dd8b241f4b82fd981159a862c2022-12-21T17:58:07ZengElsevierRevista Brasileira de Hematologia e Hemoterapia1806-087039212713210.1016/j.bjhh.2017.01.004S1516-84842017000200127Patient posture for blood collection by venipuncture: recall for standardization after 28 yearsGabriel Lima-OliveiraGian Cesare GuidiGian Luca SalvagnoElisa DaneseMartina MontagnanaGiuseppe LippiABSTRACT Background: Although data about the effect of posture on routine hematological testing were published 28 years ago, this pre-analytical issue has not been standardized so far. This study was planned to evaluate whether postural changes influence the results of hematology testing. Methods: A complete blood count was performed in 19 healthy volunteers after 25 min in the supine position, 20 min in a sitting position and 20 min stationary standing in an upright position. Results: The change from supine to sitting position caused clinically significant increases in the hemoglobin, hematocrit and red blood cell count. Furthermore, the change from supine to standing caused clinically significant increases in the hemoglobin, hematocrit, red blood cell, leukocyte, neutrophil, lymphocyte, basophil and platelet counts, and mean platelet volume, and that from sitting to standing caused clinically significant increases in hemoglobin, hematocrit, and red blood cell, leukocyte, neutrophil and lymphocyte counts. Conclusion: The results of this investigation provide further support to the notion that effort should be made to achieve widespread standardization in the practice of phlebotomy, including patient posture.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842017000200127&lng=en&tlng=enPre-analytical variabilityPosturePlasma volume changeHematologyComplete blood cell count
spellingShingle Gabriel Lima-Oliveira
Gian Cesare Guidi
Gian Luca Salvagno
Elisa Danese
Martina Montagnana
Giuseppe Lippi
Patient posture for blood collection by venipuncture: recall for standardization after 28 years
Revista Brasileira de Hematologia e Hemoterapia
Pre-analytical variability
Posture
Plasma volume change
Hematology
Complete blood cell count
title Patient posture for blood collection by venipuncture: recall for standardization after 28 years
title_full Patient posture for blood collection by venipuncture: recall for standardization after 28 years
title_fullStr Patient posture for blood collection by venipuncture: recall for standardization after 28 years
title_full_unstemmed Patient posture for blood collection by venipuncture: recall for standardization after 28 years
title_short Patient posture for blood collection by venipuncture: recall for standardization after 28 years
title_sort patient posture for blood collection by venipuncture recall for standardization after 28 years
topic Pre-analytical variability
Posture
Plasma volume change
Hematology
Complete blood cell count
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-84842017000200127&lng=en&tlng=en
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