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Assessing Phlebotomy Device Preference and Specimen Quality in an Oncology Outpatient Clinic

机译:评估设备的偏好和放血肿瘤标本质量的门诊

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Background: Oncology patients have frequent venipunctures, which causes scarring, making subsequent draws difficult and painful. Novel blood collection systems may decrease discomfort in patients experiencing repeat blood draws.Methods: Oncology outpatients (n = 101; criteria excluded 12) were recruited to determine their preference for either of two blood collection systems, the 23-gauge standard BD Vacutainer Push Button Blood Collection Set (Standard Push Button system) or the 25-gauge BD Vacutainer UltraTouch Push Button Blood Collection Set (UltraTouch Push Button system). Subjects received two blinded, randomized blood draws, one with each device and just one device for each arm. Subjects subsequently rated their blinded preference for blood collection system. Specimen quality was assessed for each device with measurements for plasma hemoglobin (Shimadzu UV-1800 spectrophotometer, Shimadzu), lactate dehydrogenase, and potassium (Vitros 4600/5600 analyzer, Ortho Diagnostics).Results: Preference for the 25-gauge UltraTouch Push Button system over the 23-gauge Standard Push Button system was significant (UltraTouch, n = 51; Standard n = 30; no preference, n = 8; P = 0.0196). Regarding sample quality, the 25-gauge UltraTouch Push Button system had significantly lower plasma hemoglobin (average 5.34mg/dL)vs the 23-gauge Standard Push Button system (9.37mg/dL; P< 0.0001); serum lactate dehydrogenase and potassium differences were not statistically significant.Conclusion: Subjects in an oncology clinic preferred phlebotomy with the 25-gauge UltraTouch Push Button system, and samples using this device had less hemolysis as assessed by plasma hemoglobin.
机译:背景:肿瘤患者频繁静脉穿刺,造成疤痕,使后续将困难和痛苦的。血液采集系统可能减少不适患者经历重复的血液吸引了。排除标准12)被招募来确定他们对两种血液的偏好集系统、BD 23-gauge标准真空采血管按钮采血(标准按钮系统)或25双相障碍真空采血管血液UltraTouch按钮收藏集(UltraTouch按钮系统)。受试者接受两个失明,随机的血绘画,每个设备只是一个设备为每一个胳膊。盲目偏爱血液收集系统。为每个设备标本质量评估血浆血红蛋白(日本岛津公司的测量uv - 1800分光光度计,日本岛津公司),乳酸脱氢酶和钾(体外4600/5600分析仪,邻位的诊断)。25 UltraTouch按钮系统在23-gauge标准按钮系统重大(UltraTouch, n = 51;没有偏好,n = 8;样品质量,25 UltraTouch推按钮系统显著降低等离子体血红蛋白(平均5.34 mg / dL) 23-gauge vs标准按钮系统(9.37毫克/分升;0.0001);钾在统计学上没有差异有很重要的意义。与25诊所首选放血UltraTouch按钮系统,样品使用这个设备不溶血评估血浆血红蛋白。

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