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Thromb Haemost 2000; 84(04): 664-667
DOI: 10.1055/s-0037-1614084
Review Article
Schattauer GmbH

A Comparison of Two Sodium Citrate Concentrations in Two Evacuated Blood Collection Systems for Prothrombin Time and ISI Determination

A. M. H. P. van den Besselaar
1   From the Haemostasis and Thrombosis Research Center, Leiden University Medical Center, Leiden, The Netherlands
,
V. Chantarangkul
2   Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Department of Internal Medicine, University and IRCCS Maggiore Hospital, Milano, Italy
,
A. Tripodi
2   Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Department of Internal Medicine, University and IRCCS Maggiore Hospital, Milano, Italy
› Author AffiliationsWe thank Becton Dickinson Vacutainer Systems and Terumo Europe N.V. for providing the blood collection systems. Thromboplastin reagents were given by Dade Behring, Ortho Diagnostics, bioMérieux, and Helena Laboratories. The international reference preparation rTF/95 was provided by the W.H.O. Excellent technical assistance was given by E. Witteveen, H. Schaefervan Mansfeld, J. Meeuwisse-Braun, J. van der Poel-van Veen, and M. Clerici.
Further Information

Publication History

Received 02 February 2000

Accepted after revision 16 May 2000

Publication Date:
11 December 2017 (online)

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Summary

The prothrombin time is usually measured in citrated plasma. The W.H.O. recommended concentration of sodium citrate for blood collection for laboratory control of oral anticoagulant therapy is 0.109 M. Some evacuated blood collection systems include 0.105 M sodium citrate. The purpose of the present study was to establish the difference in ISI calibration between 0.109 and 0.105 M citrate, using 7 types of thromboplastin and various types of instrumentation. The two citrate concentrations were provided in both evacuated siliconised glass tubes and in evacuated polyethylene terephtalate (PET) tubes. The ISI difference between the two citrate concentrations was 5.4% for one system but not greater than 3% for all other systems when blood samples were collected with either siliconized glass or PET tubes. Most of the ISI differences between the two citrate concentrations were not significant at the 5% level. It is concluded that the ISI differences between 0.105 M and 0.109 M citrate are not of practical importance. In contrast, ISI differences between siliconised glass and PET tubes, using either 0.105 or 0.109 M citrate, were significant (p <0.05) for most thromboplastin systems and amounted to 7%. ISI interchange between these glass and PET tubes could induce INR differences amounting to 14%, which could affect clinical dosage of oral anticoagulants.

Key words

Prothrombin time - ISI - oral anticoagulant control - blood collection - citrate
 

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