Agreement between blood draw techniques for assessing platelet activation by flow cytometry

It is widely believed that assays of platelet activation are susceptible to preanalytical variables related to blood draw technique. We assessed platelet activation by whole blood flow cytometry and investigated the effects of: (1) drawing blood into vacuum tubes or manually aspirated syringes, and...

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Main Authors: Emma L. Welch, Michael G. Crooks, Simon P. Hart
Format: Article
Language:English
Published: Taylor & Francis Group 2019-05-01
Series:Platelets
Subjects:
Online Access:http://dx.doi.org/10.1080/09537104.2018.1535705
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author Emma L. Welch
Michael G. Crooks
Simon P. Hart
author_facet Emma L. Welch
Michael G. Crooks
Simon P. Hart
author_sort Emma L. Welch
collection DOAJ
description It is widely believed that assays of platelet activation are susceptible to preanalytical variables related to blood draw technique. We assessed platelet activation by whole blood flow cytometry and investigated the effects of: (1) drawing blood into vacuum tubes or manually aspirated syringes, and (2) discarding the first drawn blood sample (discard tube). Platelet P-selectin expression and platelet-monocyte complexes were measured by flow cytometry under both basal conditions and following stimulation with 0.1, 1, or 10 µM ADP. Bland-Altman plots demonstrated agreement between results for vacuum tube and syringe-aspirated samples with an a priori-defined clinically relevant agreement limit of 5%. Agreement of results was also observed between discard tube and second draw samples for both vacuum-driven and manually aspirated blood. We conclude that a vacuum tube or a manually-aspirated syringe can be used when assessing platelet activation by flow cytometry and that there is no need for a discard tube.
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spelling doaj.art-7021f1c2c6eb4248879eb370adda7e642023-09-15T10:32:00ZengTaylor & Francis GroupPlatelets0953-71041369-16352019-05-0130453053410.1080/09537104.2018.15357051535705Agreement between blood draw techniques for assessing platelet activation by flow cytometryEmma L. Welch0Michael G. Crooks1Simon P. Hart2Respiratory Research Group, Hull York Medical School, Castle Hill HospitalRespiratory Research Group, Hull York Medical School, Castle Hill HospitalRespiratory Research Group, Hull York Medical School, Castle Hill HospitalIt is widely believed that assays of platelet activation are susceptible to preanalytical variables related to blood draw technique. We assessed platelet activation by whole blood flow cytometry and investigated the effects of: (1) drawing blood into vacuum tubes or manually aspirated syringes, and (2) discarding the first drawn blood sample (discard tube). Platelet P-selectin expression and platelet-monocyte complexes were measured by flow cytometry under both basal conditions and following stimulation with 0.1, 1, or 10 µM ADP. Bland-Altman plots demonstrated agreement between results for vacuum tube and syringe-aspirated samples with an a priori-defined clinically relevant agreement limit of 5%. Agreement of results was also observed between discard tube and second draw samples for both vacuum-driven and manually aspirated blood. We conclude that a vacuum tube or a manually-aspirated syringe can be used when assessing platelet activation by flow cytometry and that there is no need for a discard tube.http://dx.doi.org/10.1080/09537104.2018.1535705agreement statisticsblood collectionflow cytometryplateletspreanalytical variability
spellingShingle Emma L. Welch
Michael G. Crooks
Simon P. Hart
Agreement between blood draw techniques for assessing platelet activation by flow cytometry
Platelets
agreement statistics
blood collection
flow cytometry
platelets
preanalytical variability
title Agreement between blood draw techniques for assessing platelet activation by flow cytometry
title_full Agreement between blood draw techniques for assessing platelet activation by flow cytometry
title_fullStr Agreement between blood draw techniques for assessing platelet activation by flow cytometry
title_full_unstemmed Agreement between blood draw techniques for assessing platelet activation by flow cytometry
title_short Agreement between blood draw techniques for assessing platelet activation by flow cytometry
title_sort agreement between blood draw techniques for assessing platelet activation by flow cytometry
topic agreement statistics
blood collection
flow cytometry
platelets
preanalytical variability
url http://dx.doi.org/10.1080/09537104.2018.1535705
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