PMID- 35029031 OWN - NLM STAT- MEDLINE DCOM- 20220526 LR - 20220526 IS - 1751-553X (Electronic) IS - 1751-5521 (Linking) VI - 44 IP - 3 DP - 2022 Jun TI - Stability of coagulation parameters in plasma samples at room temperature after one freeze/thaw cycle. PG - 610-618 LID - 10.1111/ijlh.13794 [doi] AB - INTRODUCTION: Sample freezing is a part of routine laboratory tasks because some coagulation parameters are analysed in batches to optimize reagent consumption. The coagulation parameter stability in fresh and frozen samples has been described, but data are scarcer after thawing. This study objective was to determine the stability of the main coagulation parameters (from blood withdrawn on siliconized CTAD tubes and double-centrifuged) after one freeze/thaw cycle to generate procedures for appropriate handling, storage and testing. METHODS: Prothrombin time (PT), activated partial thromboplastin time (aPTT), fibrinogen, D-dimers, clotting factors (F), protein C, protein S, antithrombin, lupus anticoagulant (LA)-sensitive aPTT and diluted-Russel's viper venom time (dRVVT) were assessed in 60 plasma samples (n=30, normal range and n=30, outside the normal range). Thirty samples from anticoagulated patients [unfractionated heparin (UFH), low-molecular weight heparin (LMWH), apixaban or rivaroxaban] were assessed using specific anticoagulant assays. Frozen samples were thawed, and assays were performed at 15 min, 2, 4 and 6 h after thawing. The coagulation parameter stability was assessed with the method of rejection limit. RESULTS: After thawing, aPTT, PT, fibrinogen, D-dimers, FII, FV, FX, FIX, FXI, FXII, PC and UFH anti-Xa activity remained stable for at least 6 h, FVII for 5 h, PS, AT, dRVVT screen assay and LMWH anti-Xa activity for 4 h, and LA-sensitive aPTT and apixaban-specific anti-Xa activity for 3 h. FVIII, dRVVT confirm assay and rivaroxaban specific anti-Xa activity were stable for 2 h. CONCLUSION: These results suggest that sample stability for some haemostasis assays is limited after thawing. CI - (c) 2022 John Wiley & Sons Ltd. FAU - Gaudard, Marion AU - Gaudard M AD - Service d'hematologie biologique, Centre hospitalier universitaire de Clermont-Ferrand, Clermont-Ferrand, France. FAU - Boissier, Elodie AU - Boissier E AD - Service d'hematologie biologique, Centre hospitalier universitaire de Nantes, Nantes, France. FAU - Talon, Laurie AU - Talon L AD - Service d'hematologie biologique, Centre hospitalier universitaire de Clermont-Ferrand, Clermont-Ferrand, France. FAU - Douxfils, Jonathan AU - Douxfils J AD - Department of Pharmacy, Namur Research Institute for Life Sciences, Namur Thrombosis and Haemostasis Center, University of Namur, Namur, Belgium. AD - Qualiblood sa, Namur, Belgium. FAU - Sapin, Anne-Francoise AU - Sapin AF AD - Service d'hematologie biologique, Centre hospitalier universitaire de Clermont-Ferrand, Clermont-Ferrand, France. FAU - Sinegre, Thomas AU - Sinegre T AD - Service d'hematologie biologique, Centre hospitalier universitaire de Clermont-Ferrand, Clermont-Ferrand, France. AD - INRA UMR 1019, Universite Clermont Auvergne, Clermont-Ferrand, France. FAU - Lebreton, Aurelien AU - Lebreton A AUID- ORCID: 0000-0002-1650-0427 AD - Service d'hematologie biologique, Centre hospitalier universitaire de Clermont-Ferrand, Clermont-Ferrand, France. AD - INRA UMR 1019, Universite Clermont Auvergne, Clermont-Ferrand, France. LA - eng PT - Journal Article DEP - 20220113 PL - England TA - Int J Lab Hematol JT - International journal of laboratory hematology JID - 101300213 RN - 0 (Anticoagulants) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Lupus Coagulation Inhibitor) RN - 9001-32-5 (Fibrinogen) RN - 9005-49-6 (Heparin) RN - 9NDF7JZ4M3 (Rivaroxaban) SB - IM MH - Anticoagulants/pharmacology/therapeutic use MH - *Antiphospholipid Syndrome MH - Blood Coagulation Tests/methods MH - Fibrinogen MH - Freezing MH - Heparin MH - Heparin, Low-Molecular-Weight MH - Humans MH - Lupus Coagulation Inhibitor MH - Partial Thromboplastin Time MH - *Rivaroxaban MH - Temperature OTO - NOTNLM OT - anticoagulants OT - blood coagulation factors OT - freezing OT - laboratories OT - plasma EDAT- 2022/01/15 06:00 MHDA- 2022/05/27 06:00 CRDT- 2022/01/14 06:24 PHST- 2021/12/16 00:00 [revised] PHST- 2021/07/20 00:00 [received] PHST- 2021/12/23 00:00 [accepted] PHST- 2022/01/15 06:00 [pubmed] PHST- 2022/05/27 06:00 [medline] PHST- 2022/01/14 06:24 [entrez] AID - 10.1111/ijlh.13794 [doi] PST - ppublish SO - Int J Lab Hematol. 2022 Jun;44(3):610-618. doi: 10.1111/ijlh.13794. Epub 2022 Jan 13.