Effect of prewarming EDTA blood samples to 37°C on platelet count measured by Sysmex XT-2000iV in dogs, cats, and horses.
Abstract: Pseudothrombocytopenia secondary to platelet clumping is a common cause of preanalytic error for platelet counts in dogs, cats, and horses. In human beings, it is suggested that prewarming blood samples to 37°C prior to hematology analysis will reduce platelet clumping. Objective: The purpose of the study was to evaluate the effect of prewarming EDTA blood samples to 37°C on measured platelet counts and other hematologic variables. Methods: The EDTA blood samples from dogs, cats and horses submitted to the clinical pathology laboratory at the University of Cambridge were included. Complete blood cell counts performed using a Sysmex XT-2000iV hematology analyzer were done on samples at room temperature (approximately 22°C) and following warming of the samples to 37°C in a water bath. The Wilcoxon signed rank test was used to compare hematologic variables, including platelet count, before and after sample warming to 37°C. Data are presented as median (25(th) , 75(th) percentile) increase. Results: Blood samples from 39 dogs, 19 cats, and 10 horses were included. Sample warming to 37°C resulted in a statistically significant increase in platelet counts in dogs (11 [-2, 30] ×10(9) /L), cats (36 [14, 84] ×10(9) /L), and horses (42 [31, 79] ×10(9) /L). Sample warming did not significantly affect other hematologic variables. Conclusions: Prewarming EDTA blood samples to 37°C prior to hematologic analysis increased platelet counts overall in canine, feline, and equine blood, but did not abrogate platelet clumping and pseudothrombocytopenia fully in some cases. Furthermore, true pseudothrombocytopenia was not confirmed in these animals.
© 2016 American Society for Veterinary Clinical Pathology.
Publication Date: 2016-07-08 PubMed ID: 27391303DOI: 10.1111/vcp.12378Google Scholar: Lookup
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- Journal Article
Summary
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The research observes the effects of prewarming blood samples to a temperature of 37°C on platelet count in dogs, cats, and horses. It is indicated that elevating the temperature of the samples significantly increased platelet count without affecting other blood analysis variables.
Research Objective
- The primary objective of this study was to investigate the outcomes of prewarming Ethylenediaminetetraacetic acid (EDTA) blood samples to a temperature of 37 degrees Celsius on measured platelet counts and other key hematologic variables. The research was driven by the documented occurrence of pseudothrombocytopenia, a condition characterized by falsely reduced platelet count primarily due to platelet clumping, commonly encountered in veterinary medicine.
Research Method
- Blood samples were collected from an array of animals; 39 dogs, 19 cats, and 10 horses, which were submitted to the clinical pathology lab at the University of Cambridge. The samples went through a complete blood cell count conducted using a Sysmex XT-2000iV hematology analyzer, both in their original state and after warming them to 37°C in a water bath.
- The researchers employed the Wilcoxon signed rank test to compare significant hematologic variables inclusive of platelet count, before and after prewarming the samples to 37°C.
Research Findings
- The study results highlight that warming of the blood samples to 37°C led to a significant elevation in platelet counts in dogs, cats, and horses. The increases were statistically documented in specifics of the different species.
- Interestingly, this warming process did not have substantial influence on other hematologic variables, implying specificity of the effect to platelets count.
- Despite the increase in platelets count, the study reports, the warming process did not entirely eliminate instances of platelet clumping and pseudothrombocytopenia. Additionally, authentic pseudothrombocytopenia was not confirmed in these animals.
Conclusions
- The research concludes that the process of prewarming EDTA blood samples to 37°C can increase the platelets count in canine, feline, and equine blood. However, it does not fully eradicate cases of platelet clumping and pseudothrombocytopenia, and there seems to be no confirmation of true pseudothrombocytopenia in these animals.
Cite This Article
APA
Williams TL, Archer J.
(2016).
Effect of prewarming EDTA blood samples to 37°C on platelet count measured by Sysmex XT-2000iV in dogs, cats, and horses.
Vet Clin Pathol, 45(3), 444-449.
https://doi.org/10.1111/vcp.12378 Publication
Researcher Affiliations
- Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge, UK. timwilliams@cantab.net.
- Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge, UK.
MeSH Terms
- Animals
- Cats / blood
- Dogs / blood
- Edetic Acid
- Horses / blood
- Platelet Count / instrumentation
- Platelet Count / veterinary
- Temperature
- Thrombocytopenia / veterinary
Citations
This article has been cited 3 times.- Bao Y, Wang J, Wang A, Bian J, Jin Y. Correction of spurious low platelet counts by optical fluorescence platelet counting of BC-6800 hematology analyzer in EDTA-dependent pseudo thrombocytopenia patients. Transl Cancer Res 2020 Jan;9(1):166-172.
- Milczek-Haduch D, Żmigrodzka M, Kiełbik P, Świderska B, Olędzki J, Witkowska-Piłaszewicz O. Comparative Analysis of Extracellular Vesicle Isolation From Equine Serum and Plasma Using Two Isolation Methods With Structural and Proteomic Validation. FASEB J 2026 Jan 31;40(2):e71472.
- Keawchana N, Rakwong P, Yongsakulchai P. Kanamycin treated-ethylenediamine tetraacetic acid-dependent pseudothrombocytopenia in blood specimen of cats. Open Vet J 2024 May;14(5):1199-1205.
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