scholarly journals Rapid testing of red blood cells, white blood cells and platelets in intensive care patients using the HemoScreen™ point-of-care analyzer

Platelets ◽  
2018 ◽  
Vol 30 (8) ◽  
pp. 1013-1016
Author(s):  
Anders Larsson ◽  
David Smekal ◽  
Miklos Lipcsey
2013 ◽  
Vol 14 (1) ◽  
pp. 11-14
Author(s):  
Ezzeldin Saleh ◽  
Timothy S Walsh

Previous studies have shown that transfusion of non-leucodepleted red blood cells can cause leucocytosis in recipients. A small study suggested that pre-storage leucodepletion removed this phenomenon, but has not been further substantiated. We explored whether recipient leucocytosis occurs when leucodepleted red blood cells were transfused to non-bleeding intensive care patients. We used routinely collected data for 95 transfusions in 54 patients. Overall, no leucocytosis was found on the first routine blood sample following transfusion (mean change 0.6 × 109/L; 95% confidence interval - 0.2 to 1.3; p=0.145). However, for the 32 transfusions in patients with normal pre-transfusion leucocyte count there was a clinically small but statistically significant leucocytosis following transfusion, unlikely to have occurred by chance (mean change 1.5 × 109/L; 0.5 to 2.5; p=0.005). No significant change was observed in patients with pre-transfusion leucocytosis. We found no relation between leucocytosis and storage age of red cells. Our data suggest that transfusions with leucodepleted red cells can increase leucocyte counts in recipients. The mechanism of this effect and its clinical importance are uncertain.


2006 ◽  
Vol 366 (1-2) ◽  
pp. 329-335 ◽  
Author(s):  
Axel Stachon ◽  
Reiner Kempf ◽  
Tim Holland-Letz ◽  
Jochen Friese ◽  
Andreas Becker ◽  
...  

2020 ◽  
Author(s):  
Tiancheng Xia ◽  
Richard Fu ◽  
Nanlin Jin ◽  
Paul Chazot ◽  
Plamen Angelov ◽  
...  

Microscopic blood cell analysis is an important methodology for medical diagnosis, and complete blood cell counts (CBCs) are one of the routine tests operated in hospitals. Results of the CBCs include amounts of red blood cells, white blood cells and platelets in a unit blood sample. It is possible to diagnose diseases such as anemia when the numbers or shapes of red blood cells become abnormal. The percentage of white blood cells is one of the important indicators of many severe illnesses such as infection and cancer. The amounts of platelets are decreased when the patient suffers hemophilia. Doctors often use these as criteria to monitor the general health conditions and recovery stages of the patients in the hospital. However, many hospitals are relying on expensive hematology analyzers to perform these tests, and these procedures are often time consuming. There is a huge demand for an automated, fast and easily used CBCs method in order to avoid redundant procedures and minimize patients’ burden on costs of healthcare. In this research, we investigate a new CBC detection method by using deep neural networks, and discuss state of the art machine learning methods in order to meet the medical usage requirements. The approach we applied in this work is based on YOLOv3 algorithm, and our experimental results show the applied deep learning algorithms have a great potential for CBCs tests, promising for deployment of deep learning methods into microfluidic point-of-care medical devices. As a case of study, we applied our blood cell detector to the blood samples of COVID-19 patients, where blood cell clots are a typical symptom of COVID-19.


Author(s):  
Axel Stachon ◽  
Tim Holland-Letz ◽  
Michael Krieg

AbstractThe detection of nucleated red blood cells (NRBCs) in blood of patients suffering from a variety of severe diseases is known to be highly associated with increased mortality. Blood analyzers to routinely measure NRBC concentrations are now available. However, the diagnostic and prognostic significance of this parameter for intensive care patients has not been evaluated. Using a Sysmex XE-2100 analyzer, NRBC concentrations were determined in blood samples from 421 patients treated in intensive care units (general and accident surgery, cardiothoracic surgery, and internal medicine) of a university hospital. NRBCs were found at least once in 19.2% of all patients. The mortality of NRBC-positive patients (n = 81) was 42.0% (n = 34); this was significantly higher (p < 0.001) than the mortality of NRBC-negative patients (5.9%, n = 340). The NRBC concentration was 115 ± 4 × 10


2020 ◽  
Vol 2 (1) ◽  
pp. 76
Author(s):  
Fatemeh Sharifi ◽  
Armin Sedighi ◽  
Mubashar Rehman

Hematology tests, considered as an initial step in the patient diagnostic process, require laboratory equipment and technicians which is a time- and labor-consuming procedure. Such facilities may be available in a few central laboratories in under-resourced countries. The growing need for low cost and rapid diagnostic tests contributes to point-of-care (POC) medical diagnostic devices providing convenient and rapid test tools particularly in areas with limited medical resources. In the present study, a comprehensive numerical simulation of a POC blood cell separation device (POC-BCS) has been modeled using a finite element method. Tag-less separation of blood cells, i.e., platelets, red blood cells, and white blood cells, was carried out using standing surface acoustic waves (SSAWs) generated by interdigital transducers (IDTs) located at lateral sides of the microfluidic channel. Blood sample intake along with sheath flow was introduced via two symmetrical tilted angle inlets and a middle inlet, respectively. Superposition of acoustic radiation force applied by SSAWs accompanied by drag force caused by medium flow drove the blood cells toward different path lines correlated to their size. White blood cells were sorted out in the middle outlet and red blood cells and platelets were sorted out through the separate locations of the side outlets. Each cell was then guided to their respected visualization chamber for further image processing analysis. The results of the presented numerical study would be very promising in designing and optimizing the POC blood testing device.


2020 ◽  
Author(s):  
Tiancheng Xia ◽  
Richard Fu ◽  
Nanlin Jin ◽  
Paul Chazot ◽  
Plamen Angelov ◽  
...  

Microscopic blood cell analysis is an important methodology for medical diagnosis, and complete blood cell counts (CBCs) are one of the routine tests operated in hospitals. Results of the CBCs include amounts of red blood cells, white blood cells and platelets in a unit blood sample. It is possible to diagnose diseases such as anemia when the numbers or shapes of red blood cells become abnormal. The percentage of white blood cells is one of the important indicators of many severe illnesses such as infection and cancer. The amounts of platelets are decreased when the patient suffers hemophilia. Doctors often use these as criteria to monitor the general health conditions and recovery stages of the patients in the hospital. However, many hospitals are relying on expensive hematology analyzers to perform these tests, and these procedures are often time consuming. There is a huge demand for an automated, fast and easily used CBCs method in order to avoid redundant procedures and minimize patients’ burden on costs of healthcare. In this research, we investigate a new CBC detection method by using deep neural networks, and discuss state of the art machine learning methods in order to meet the medical usage requirements. The approach we applied in this work is based on YOLOv3 algorithm, and our experimental results show the applied deep learning algorithms have a great potential for CBCs tests, promising for deployment of deep learning methods into microfluidic point-of-care medical devices. As a case of study, we applied our blood cell detector to the blood samples of COVID-19 patients, where blood cell clots are a typical symptom of COVID-19.


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