Effects of storage time and temperature on thromboelastographic analysis in dogs and horses. (23rd February 2021)

• Record Type: Journal Article
• Authors: Lemon, Ashleigh V.; Goddard, Amelia; Hooijberg, Emma H.
• Is Part Of: Veterinary clinical pathology. Volume 50:Number 1(2021)
• Page Start: 9
• Page End: 19
• Publication Date: 2021-02-23
• Subjects: hemostasis -- preanalytical -- stability -- TEG -- viscoelastic testing; Veterinary pathology -- Periodicals; 636.089607
• DOI: 10.1111/vcp.12980
• Languages: English
• ISSNs: 0275-6382

Abstract

Abstract: Background: The accessibility of thromboelastography (TEG) to general practitioners is limited by short sample storage times (30 minutes) and storage temperatures (20‐23°C). Objectives: We aimed to evaluate the stability of canine and equine citrated blood samples when stored for extended periods of time, both at room temperature (RT) (20‐23°C) and refrigerator temperature (FT) (2‐7.5°C). Methods: Citrated whole blood samples from healthy dogs and horses (n = 10 for each) were stored for 30 minutes (baseline) at RT before TEG analysis. Baseline values for TEG variables R, K, α, MA, LY30, and LY60 were compared with those from samples stored for 2, 8, and 22.5 h, at RT and FT. Results were compared using an ANOVA ( P < .05). Total allowable analytical error (TEa ) based on biological variation data was used to evaluate stability. Results: In dogs, statistically significant differences included shorter R, longer K, decreased MA, and increased LY60 at various time points and storage temperatures from 2 h onward. Only samples stored for 2 h at FT showed acceptable stability compared with TEa . In horses, statistically significant differences included shorter R and K, and decreased α, LY30, and LY60 at various time points and storage temperatures from 2 h onward. Samples were not stable at any time compared with TEa, regardless of the temperature. Conclusions: In this study, canine samples could be stored for up to 2 h at FT without affecting TEG results; equine samples should be stored for 30 minutes at RT.