Multicenter evaluation of analytical performances of platelet counts and platelet parameters: Carryover, precision, and stability
Maria Gioia
Clinical Chemistry Laboratory, Abele Ajello Hospital, Mazara del Vallo, Italy
Search for more papers by this authorGiorgio Da Rin
Medicine Laboratory, IRCCS Ospedale Policlinico San Martino, Genova, Italy
Search for more papers by this authorBarbara Manenti
Clinical Chemistry Laboratory, Papa Giovanni XXIII Hospital, Bergamo, Italy
Search for more papers by this authorSarah Birindelli
Clinical Pathology Unit, ASST Fatebenefratelli-Sacco, Milan, Italy
Search for more papers by this authorMaria Laura Ciardelli
Clinical Chemistry Laboratory, Policlinico San Matteo-IRCCS, University of Pavia, Pavia, Italy
Search for more papers by this authorRoberto Gentile
Clinical Chemistry Laboratory, Policlinico San Matteo-IRCCS, University of Pavia, Pavia, Italy
Search for more papers by this authorGianluca Beretta
Clinical Chemistry Laboratory, Policlinico San Pietro - Istituti Ospedalieri Bergamaschi, San Pietro, Italy
Search for more papers by this authorGiuseppe Lorusso
Clinical Chemistry Laboratory, Policlinico San Pietro - Istituti Ospedalieri Bergamaschi, San Pietro, Italy
Search for more papers by this authorDaniela Avino
Hematological diagnostic Laboratory, P. O. “A. Tortora”, Pagani, Italy
Search for more papers by this authorAnna Maria Di Fabio
Clinical Chemistry Laboratory, Avezzano Civic Hospital, Avezzano, Italy
Search for more papers by this authorFrancesco Dima
Section of Clinical Biochemistry, University of Verona, Verona, Italy
Search for more papers by this authorAlessandra Fanelli
Laboratory Department, Azienda Ospedaliera Careggi, Florence, Italy
Search for more papers by this authorMaria Lorubbio
Laboratory Department, Azienda Ospedaliera Careggi, Florence, Italy
Search for more papers by this authorSara Francione
Department of Clinical Chemistry and Microbiology, ASL Novara, Borgomanero, Italy
Search for more papers by this authorGalina Marincheva
Department of Clinical Chemistry and Microbiology, ASL Novara, Borgomanero, Italy
Search for more papers by this authorAlessandra Marini
Department of Clinical Chemistry, Versilia Hospital, Lido di Camaiore, Italy
Search for more papers by this authorAngela Papa
Laboratory Medicine, Fondazione G. Monasterio CNR Regione Toscana, Pisa, Italy
Search for more papers by this authorElena Giannelli
Laboratory Medicine, Fondazione G. Monasterio CNR Regione Toscana, Pisa, Italy
Search for more papers by this authorRachele Pajola
Clinical Chemistry Laboratory, Ospedali Riuniti Padova Sud Schiavonia, Italy
Search for more papers by this authorAndrea Panzeri
Clinical Pathology Unit, ASST Fatebenefratelli-Sacco, Milan, Italy
Search for more papers by this authorSilvia Pipitone
Clinical Chemistry and Hematology Laboratory, University Hospital of Parma, Parma, Italy
Search for more papers by this authorAnna Benegiamo
Clinical Chemistry and Hematology Laboratory, University Hospital of Parma, Parma, Italy
Search for more papers by this authorRoberta Rolla
Clinical Chemistry Laboratory, Department of Health Sciences, Maggiore Carità Hospital, University of Eastern Piedmont, Novara, Italy
Search for more papers by this authorMatteo Vidali
Clinical Chemistry Laboratory, Department of Health Sciences, Maggiore Carità Hospital, University of Eastern Piedmont, Novara, Italy
Search for more papers by this authorCorresponding Author
Sabrina Buoro
Clinical Chemistry Laboratory, Papa Giovanni XXIII Hospital, Bergamo, Italy
Correspondence
Sabrina Buoro, Clinical Chemistry Laboratory - Papa Giovanni XXIII Hospital, Piazza OMS, 1, Bergamo — 24127, Italy.
Email: [email protected]
[Correction added on 24 July 2020, after first online publication: An error in the name of author Anna Benegiamo (mis-spelled ‘Bengiamo’ in the originally published version) has been corrected.]
Search for more papers by this authorMaria Gioia
Clinical Chemistry Laboratory, Abele Ajello Hospital, Mazara del Vallo, Italy
Search for more papers by this authorGiorgio Da Rin
Medicine Laboratory, IRCCS Ospedale Policlinico San Martino, Genova, Italy
Search for more papers by this authorBarbara Manenti
Clinical Chemistry Laboratory, Papa Giovanni XXIII Hospital, Bergamo, Italy
Search for more papers by this authorSarah Birindelli
Clinical Pathology Unit, ASST Fatebenefratelli-Sacco, Milan, Italy
Search for more papers by this authorMaria Laura Ciardelli
Clinical Chemistry Laboratory, Policlinico San Matteo-IRCCS, University of Pavia, Pavia, Italy
Search for more papers by this authorRoberto Gentile
Clinical Chemistry Laboratory, Policlinico San Matteo-IRCCS, University of Pavia, Pavia, Italy
Search for more papers by this authorGianluca Beretta
Clinical Chemistry Laboratory, Policlinico San Pietro - Istituti Ospedalieri Bergamaschi, San Pietro, Italy
Search for more papers by this authorGiuseppe Lorusso
Clinical Chemistry Laboratory, Policlinico San Pietro - Istituti Ospedalieri Bergamaschi, San Pietro, Italy
Search for more papers by this authorDaniela Avino
Hematological diagnostic Laboratory, P. O. “A. Tortora”, Pagani, Italy
Search for more papers by this authorAnna Maria Di Fabio
Clinical Chemistry Laboratory, Avezzano Civic Hospital, Avezzano, Italy
Search for more papers by this authorFrancesco Dima
Section of Clinical Biochemistry, University of Verona, Verona, Italy
Search for more papers by this authorAlessandra Fanelli
Laboratory Department, Azienda Ospedaliera Careggi, Florence, Italy
Search for more papers by this authorMaria Lorubbio
Laboratory Department, Azienda Ospedaliera Careggi, Florence, Italy
Search for more papers by this authorSara Francione
Department of Clinical Chemistry and Microbiology, ASL Novara, Borgomanero, Italy
Search for more papers by this authorGalina Marincheva
Department of Clinical Chemistry and Microbiology, ASL Novara, Borgomanero, Italy
Search for more papers by this authorAlessandra Marini
Department of Clinical Chemistry, Versilia Hospital, Lido di Camaiore, Italy
Search for more papers by this authorAngela Papa
Laboratory Medicine, Fondazione G. Monasterio CNR Regione Toscana, Pisa, Italy
Search for more papers by this authorElena Giannelli
Laboratory Medicine, Fondazione G. Monasterio CNR Regione Toscana, Pisa, Italy
Search for more papers by this authorRachele Pajola
Clinical Chemistry Laboratory, Ospedali Riuniti Padova Sud Schiavonia, Italy
Search for more papers by this authorAndrea Panzeri
Clinical Pathology Unit, ASST Fatebenefratelli-Sacco, Milan, Italy
Search for more papers by this authorSilvia Pipitone
Clinical Chemistry and Hematology Laboratory, University Hospital of Parma, Parma, Italy
Search for more papers by this authorAnna Benegiamo
Clinical Chemistry and Hematology Laboratory, University Hospital of Parma, Parma, Italy
Search for more papers by this authorRoberta Rolla
Clinical Chemistry Laboratory, Department of Health Sciences, Maggiore Carità Hospital, University of Eastern Piedmont, Novara, Italy
Search for more papers by this authorMatteo Vidali
Clinical Chemistry Laboratory, Department of Health Sciences, Maggiore Carità Hospital, University of Eastern Piedmont, Novara, Italy
Search for more papers by this authorCorresponding Author
Sabrina Buoro
Clinical Chemistry Laboratory, Papa Giovanni XXIII Hospital, Bergamo, Italy
Correspondence
Sabrina Buoro, Clinical Chemistry Laboratory - Papa Giovanni XXIII Hospital, Piazza OMS, 1, Bergamo — 24127, Italy.
Email: [email protected]
[Correction added on 24 July 2020, after first online publication: An error in the name of author Anna Benegiamo (mis-spelled ‘Bengiamo’ in the originally published version) has been corrected.]
Search for more papers by this author[Correction added on 20 July 2020, after first online publication: An error in the name of author Anna Benegiamo (mis-spelled ‘Bengiamo’ in the originally published version) has been corrected.]
Abstract
Introduction
The correctness of the results of automated platelet analysis is still highly debated. The aim of this multicenter study, conducted according to international guidelines, was to verify the analytical performance of nine different types of hematology analyzers (HAs) in the automated platelet analysis.
Methods
Four hundred eighty-six peripheral blood samples (PB), collected in K3EDTA tubes, were analyzed by ABX Pentra, ADVIA2120i, BC-6800, BC-6800 Plus, Cell-DYN Sapphire, DxH800, XE-2100, XE-5000, XN-20 with PLT-F App. Within-run imprecision and between-run imprecision were carried out using PB and material control, respectively. The carryover, low limit of quantification (LoQ), and the PB stability were evaluated.
Results
The carryover was absent for all HAs. The LoQ of PLT ranged between 2.0 (Cell-Dyn Sapphire) and 25.0 × 109/L (ADVIA 2120i), while immature platelet fraction (IPF) ranged between 1.0 (XN-20) and 12.0 × 109/L (XE-5000). The imprecision (%CV) increases as the platelet count decreases. No HAs showed desirable CVAPS for PLT counts less than 50.0 × 109/L, with the exception of Cell-DYN Sapphire (CV 3.0% with PLT-O mean value of 26.7 × 109/L), XN-20 (CV 2.4% with PLT-F mean value of 21.5 × 109/L), and BC-6800 Plus (CV 1.9% with PLT-O mean value of 26.5 × 109/L). The sample stability ranged between under two hours for MPV by ADVIA2120i and 8 hours for other PLT parameters and HAs.
Conclusion
The findings of this study may provide useful information regarding carryover, precision, and stability of platelet counts and parameters, especially in thrombocytopenic samples. Moreover, the stability of sample for platelet analysis is conditioned by the HA and by temperature and storage time.
CONFLICT OF INTEREST
The Authors stated that there are no conflicts of interest regarding the publication of this article.
Supporting Information
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Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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