The pneumatic tube system does not affect complete blood count results; a validation study at a tertiary care hospital

2013 ◽  
Vol 36 (5) ◽  
pp. 514-520 ◽  
Author(s):  
A. Z. Al-Riyami ◽  
M. Al-Khabori ◽  
R. M. Al-Hadhrami ◽  
I. S. Al-Azwani ◽  
H. M. Davis ◽  
...  
Keyword(s):  
Validation Study ◽  
Blood Count ◽  
Complete Blood Count ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tube System ◽  
Pneumatic Tube ◽  
Pneumatic Tube System

The effect of pneumatic tube system on complete blood count parameters and thrombocyte donation in healthy donors

2012 ◽  
Vol 47 (1) ◽  
pp. 81-83 ◽  
Author(s):  
Ismail Sari ◽  
Aliriza Arslan ◽  
Can Ozlu ◽  
Sibel Hacioglu ◽  
Mehmet Hilmi Dogu ◽  
...  
Keyword(s):  
Blood Count ◽  
Complete Blood Count ◽  
Tube System ◽  
Pneumatic Tube ◽  
Healthy Donors ◽  
Pneumatic Tube System

scholarly journals Bernard Soulier Syndrome: 10 years’ experience at a tertiary care hospital

2019 ◽  
Vol 35 (3) ◽  
Author(s):  
Saima Farhan ◽  
Irem Iqbal ◽  
Nisar Ahmed
Keyword(s):  
Platelet Aggregation ◽  
Blood Count ◽  
Bleeding Time ◽  
Complete Blood Count ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Giant Platelets ◽  
Platelet Aggregometry ◽  
Bernard Soulier Syndrome

Objective: To determine clinical manifestations and laboratory findings in patients with BSS diagnosed through platelet aggregometry followed in a tertiary care hospital in Lahore, Pakistan. Methods: The retrospective study comprised patients who presented in Hematology and Transfusion Medicine Department of The Children Hospital & Institute of Child Health, Lahore with the relevant diagnosis from 2006 to 2013. The result of all the patients were collected on a predesigned proforma. Medical data was scrutinized to collect age, gender, clinical findings along with results of complete blood count, bleeding time and platelet aggregation studies for the diagnosis of Bernard Soulier Syndrome. Results: Among 49 patients, 26 patients were females and 23 males. The mean age of the patients was 5±2.5 years. 81% had a family history of consanguinity. The most common presenting symptom included epistaxis seen in 73.4% patients. Complete blood count demonstrated decreased platelets in 85.7% of patients ranging from 20 X 109/L to 130 X 109/L. Anemia was seen in 67.3% and 93.8% had prolonged bleeding time. Peripheral blood smears demonstrated giant platelets in all patients. The majority of patients 65.3% had mild bleeding episodes. Platelet aggregation studies showed normal aggregation with ADP, Collagen and Epinephrine in 100% of our patients whereas all showed no response of aggregation with Ristocetin. Conclusion: Our data is consistent with other reports regarding clinical presentation of BSS, but we report large number of BSS patients from our area, emphasizing significance to provide diagnostic services in Pakistan to find out exact magnitude of disease. doi: https://doi.org/10.12669/pjms.35.3.980 How to cite this:Farhan S, Iqbal I, Ahmed N. Bernard Soulier Syndrome: 10 years’ experience at a tertiary care hospital. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.980 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals The Effects of Sample Transport by Pneumatic Tube System on Routine Hematology and Coagulation Tests

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Devi Subbarayan ◽  
Chidambharam Choccalingam ◽  
Chittode Kodumudi Anantha Lakshmi
Keyword(s):  
Platelet Count ◽  
Blood Count ◽  
Complete Blood Count ◽  
Red Cell ◽  
Tube System ◽  
Cell Parameters ◽  
Pneumatic Tube ◽  
Paired Samples ◽  
Significant Difference ◽  
Pneumatic Tube System

Background. Automation helps improve laboratory operational efficiency and reduce the turnaround time. Pneumatic tube systems (PTS) automate specimen transport between the lab and other areas of the hospital. Its effect on complete blood count (CBC) and coagulation is still controversial.Aim. To study the effects of pneumatic tube system sample transport on complete blood count and coagulation parameters to compare them with hand delivered samples.Methods. 75 paired samples for complete blood count and 25 paired samples for coagulation analysis were compared between samples sent via pneumatic tube system and hand delivered system.Results. PTS showed significant decrease in red cell indices such as MCV and RDW and increase in MCHC. Other red cell parameters and WBC parameters showed no statistical significant difference. Statistically significant increase in platelet count was observed with PTS samples. However, these differences were clinically insignificant. No significant effect of PTS was found in PT and APTT samples compared to the hand delivered samples.Conclusion. Despite statistically significant changes in RBC parameters such as MCV, RDW, and MCHC and platelet count, these changes were clinically insignificant. Hence, blood samples for CBC and coagulation assay can safely be transported via our hospital’s PTS. However, further studies on platelet count are warranted to ensure safe transport and accuracy of the results.

A minimalist electronic health record-based intervention to reduce standing lab utilisation

2020 ◽  
pp. postgradmedj-2019-136992
Author(s):  
Kuo-Kai Chin ◽  
Amrita Krishnamurthy ◽  
Talhah Zubair ◽  
Tara Ramaswamy ◽  
Jason Hom ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Complete Blood Count ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
General Medicine ◽  
Health Record ◽  
Care Hospital ◽  
Before And After ◽  
Electronic Health ◽  
One Year

BackgroundRepetitive laboratory testing in stable patients is low-value care. Electronic health record (EHR)-based interventions are easy to disseminate but can be restrictive.ObjectiveTo evaluate the effect of a minimally restrictive EHR-based intervention on utilisation.SettingOne year before and after intervention at a 600-bed tertiary care hospital. 18 000 patients admitted to General Medicine, General Surgery and the Intensive Care Unit (ICU).InterventionProviders were required to specify the number of times each test should occur instead of being able to order them indefinitely.MeasurementsFor eight tests, utilisation (number of labs performed per patient day) and number of associated orders were measured.ResultsUtilisation decreased for some tests on all services. Notably, complete blood count with differential decreased 9% (p<0.001) on General Medicine and 21% (p<0.001) in the ICU.ConclusionsRequiring providers to specify the number of occurrences of labs changes significantly reduces utilisation in some cases.

scholarly journals Frequency of Thrombocytopenia in Neonates Following Phototherapy in Neonatology Unit of Tertiary Care Hospital

2021 ◽  
pp. 252-257
Author(s):  
Hina Naqvi ◽  
Shazia Memon ◽  
Mushtaque Ali Shah ◽  
Muhammad Nadeem Chohan ◽  
Numra Shaikh ◽  
...  
Keyword(s):  
Platelet Count ◽  
Complete Blood Count ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
University Hospital ◽  
Total Serum ◽  
Care Hospital ◽  
Baseline Platelet Count ◽  
Paediatric Department ◽  
Neonatal Ward

Aim: To determine the frequency of thrombocytopenia and its severity in relation to level of indirect hyperbilirubinemia in neonates following phototherapy at tertiary care hospital. Study Design: Descriptive study Place and duration:  This study was conducted at Paediatric department (neonatal ward), Liaquat University Hospital, Hyderabad, from 1st August 2020 till 31st Jan 2021 Methodology: All neonates who fulfilled the inclusion criteria presented at pediatric department (neonatal ward), Liaquat University Hospital Hyderabad were included in the study. After written consent, brief history was taken from the mother or family member and complete blood count (CBC) was sent to check the baseline platelet count along with total serum bilirubin, it was repeated after 48 hours of phototherapy. Results: Out of 231 neonates 70 (30.3%) developed thrombocytopenia after phototherapy. In our study 117 neonates (50.6%) were males & 114 neonates (49.4%) were females with the mean age of 5.9307+1.6640 days. The thrombocytopenia was seen in 70 neonates (30.3%) and type of severity was mild, moderate & severe in 52(22.5%), 13(5.6%) & 5(2.2%) respectively. Conclusion: There was a decline in mean platelet count after phototherapy but it was not statistically significant. The treating doctor should also keep in mind, other causes of thrombocytopenia when the patient is receiving phototherapy.

scholarly journals Etiology of Pancytopenia: An Observation from a Referral Medical Institution of Eastern Region of India

2015 ◽  
Vol 7 (02) ◽  
pp. 090-095 ◽  
Author(s):  
Senjuti Dasgupta ◽  
Prakas K Mandal ◽  
Sudipta Chakrabarti
Keyword(s):  
Aplastic Anemia ◽  
West Bengal ◽  
Complete Blood Count ◽  
Tertiary Care Hospital ◽  
Megaloblastic Anemia ◽  
Tertiary Care ◽  
Eastern Region ◽  
Care Hospital ◽  
Common Cause ◽  
Etiological Factors

ABSTRACT Background: Pancytopenia is a relatively common hematological condition, the etiological factors of which vary widely in different geographic location. Determining the specific etiology is of immense importance for appropriate management. Aims and Objectives: The present study was undertaken to delineate etiological factors leading to pancytopenia in a Tertiary Care Hospital of West Bengal from Eastern Region of India. Aims and Objectives:The present study was undertaken to delineate etiological factors leading to pancytopenia in a Tertiary Care Hospital of West Bengal from Eastern Region of India. Materials and Methods: A prospective study was conducted for a period of 2 years in which 248 patients were included. After obtaining a relevant clinical history, physical examination was done followed by complete blood count including peripheral blood smears examination, relevant biochemical, and radiological investigations. Afterward, bone marrow aspiration and biopsy were performed and microscopically examined. Results: Among 248 patients studied, 156 (62.9%) were males and 92 (37.09%) were females. The mean age of the patients was 33 years. Aplastic anemia was the most common cause of pancytopenia that was observed in 83 cases (33.47%) followed by megaloblastic anemia in 52 cases (20.97%), leishmaniasis in 34 patients (13.71%), hypersplenism also in 34 patients (13.71%), and tuberculosis and other connective tissue disorders in 18 cases (7.26%). The occurrence of aplastic anemia was statistically significant in pediatric (≤15 years) age group. Conclusion: Aplastic anemia was found to be the most common cause of pancytopenia in this study, which is in contrast to studies conducted from other regions of India. Delineation of etiologies of pancytopenia in various regions can help in defining diagnostic and therapeutic strategies, which is expected to contribute toward the better management of such patients.

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