Stability of Commonly Used Haematological Parameters in Samples Stored at 33°C, 22°C and 4°C

AimThis study aimed to investigate the analytical bias and imprecision in haematological parameters induced by storage at 4{degrees}C, 22{degrees}C and 33 {degrees}C.\n\nMethodsThree K2EDTA anticoagulated vials of blood were collected from each of twenty blood donors and stored at 4{degrees}C, 22{degrees}C and 33{degrees}C respectively. Readings from each vial were taken at 0, 4, 6, 12, 24, 48 and 72 hours after collection on the Sysmex XP-100 analyser. The mean and median shift of the parameters relative to the baseline and the coefficient of variation for each time-temperature combination were calculated. The shift was compared to the maximum acceptable bias.\n\nResultsHaemoglobin, Red Blood Cell Count, White Blood Cell Count, Mean Corpuscular Haemoglobin were stable for at least twenty four hours at 33{degrees}C. Haematocrit, Mean Corpuscular Volume and Platelet Counts were stable for less than four hours at 33{degrees}C. All the above parameters were stable for longer at 22{degrees}C and 4{degrees}C. The three-part differential count showed instability within four hours at 33 {degrees}C.\n\nConclusionsStrict pre-analytical control is needed at 33{degrees}C or above due to the marked instability of most parameters. However, Haemoglobin, Red Blood Cell Count, White Blood Cell Count and Mean Corpuscular Haemoglobin remain relatively stable even at 33{degrees}C.\n\nKey MessageHaematology samples exposed to temperatures of 33{degrees}C or above show rapid change in MCV, HCT,MCHC, RDW, Platelet Counts and three-part differential counts. Settings where prolonged exposure to these temperatures cannot be avoided should rely on the more stable parameters of Haemoglobin, RBC Counts, MCH and WBC Counts.