PMID- 25672467 OWN - NLM STAT- MEDLINE DCOM- 20150324 LR - 20181113 IS - 1330-0962 (Print) IS - 1846-7482 (Electronic) IS - 1330-0962 (Linking) VI - 25 IP - 1 DP - 2015 TI - Comparison of blood ethanol stabilities in different storage periods. PG - 57-63 LID - 10.11613/BM.2015.006 [doi] AB - INTRODUCTION: Measurements of blood ethanol concentrations must be accurate and reliable. The most important factors affecting blood ethanol stability are temperature and storage time. In this study, we aimed to compare ethanol stability in plasma samples at -20 degrees C for the different storage periods. MATERIALS AND METHODS: Blood samples were collected from intoxicated drivers (N=80) and initial plasma ethanol concentrations were measured immediately. Plasma samples were then stored at -20 degrees C and re-assessed after 2, 3, 4, or 5 months of storage. Differences between the initial and stored ethanol concentrations in each group (N=20) were analyzed using Wilcoxon matched-pairs test. The deviation from the initial concentration was calculated and compared with Clinical Laboratory Improvement Amendments (CLIA'88) Proficiency Testing Limits. Relationships between the initial concentrations and deviations from initial concentrations were analyzed by Spearman's correlation analysis. For all statistical tests, differences with P values of less than 0.05 were considered statistically significant. RESULTS: Statistically significant differences were observed between the initial and poststorage ethanol concentrations in the overall sample group (P<0.001). However, for the individual storage duration groups, analytically significant decreases were observed only for samples stored for 5 months, deviations from the initial concentrations exceeded the allowable total error (TEa). Ethanol decreases in the other groups did not exceed the TEa. CONCLUSION: According to our results, plasma ethanol samples can be kept at -20 degrees C for up to 3-4 months until re-analysis. However, each laboratory should also establish its own work-flow rules and criterion for reliable ethanol measurement in forensic cases. FAU - Kocak, Fatma Emel AU - Kocak FE AD - Dumlupinar University, Faculty of Medicine, Department of Medical Biochemistry, Kutahya, Turkey. FAU - Isiklar, Ozben Ozden AU - Isiklar OO AD - Dumlupinar University, Evliya Celebi Education, and Research Hospital, Department of Medical Biochemistry, Kutahya, Turkey. FAU - Kocak, Havva AU - Kocak H AD - Dumlupinar University, Faculty of Medicine, Department of Medical Biochemistry, Kutahya, Turkey. FAU - Meral, Ayfer AU - Meral A AD - Dumlupinar University, Evliya Celebi Education, and Research Hospital, Department of Medical Biochemistry, Kutahya, Turkey. LA - eng PT - Clinical Trial PT - Journal Article PL - Croatia TA - Biochem Med (Zagreb) JT - Biochemia medica JID - 9610305 RN - 3K9958V90M (Ethanol) SB - IM MH - Alcoholic Intoxication/*blood MH - *Automobile Driving MH - Cryopreservation/*methods MH - Ethanol/*blood MH - Female MH - Humans MH - Male MH - Reproducibility of Results MH - Time Factors PMC - PMC4401314 OTO - NOTNLM OT - ethanol OT - preanalytical phase OT - stability OT - storage temperature COIS- None declared. EDAT- 2015/02/13 06:00 MHDA- 2015/03/25 06:00 PMCR- 2015/02/15 CRDT- 2015/02/13 06:00 PHST- 2014/06/29 00:00 [received] PHST- 2014/11/29 00:00 [accepted] PHST- 2015/02/13 06:00 [entrez] PHST- 2015/02/13 06:00 [pubmed] PHST- 2015/03/25 06:00 [medline] PHST- 2015/02/15 00:00 [pmc-release] AID - biomd-25-1-57 [pii] AID - BM_25(1)_57-63 [pii] AID - 10.11613/BM.2015.006 [doi] PST - ppublish SO - Biochem Med (Zagreb). 2015;25(1):57-63. doi: 10.11613/BM.2015.006.