Reproducibility of Serum Potassium Values in Serum From Blood Samples Stored for Increasing Times Prior to Centrifugation and Analysis

J Clin Lab Anal. 2016 May;30(3):244-7. doi: 10.1002/jcla.21843. Epub 2015 Apr 13.

Abstract

Goals: The goal of this work was to determine if immediate versus postponed centrifugation of samples affects the levels of serum potassium.

Methods: Twenty participants donated normal venous blood that was collected in four serum separator tubes per donor, each of which was analyzed at 0, 1, 2, or 4 hr on the Siemens Advia 1800 autoanalyzer.

Results: Coefficients of variation (CVs) for potassium levels ranged from 0% to 7.6% with a mean of 3 ± 2%. ANOVA testing of the means for all 20 samples showed a P-value of 0.72 (>0.05) indicating that there was no statistically significant difference between the means of the samples at the four time points. Sixteen samples were found to have CVs that were ≤5%. Two samples showed increases of potassium from the reference range to levels higher than the upper reference limit, one of which had a 4-hr value that was within the reference or normal range (3.5-5 mEq/l). Overall, most samples were found to have reproducible levels of serum potassium.

Conclusions: Serum potassium levels from stored whole blood collected in serum separator tubes are, for the most part, stable at room temperature for at least 4 hr prior to analysis. However, some samples can exhibit significant fluctuations of values.

Keywords: potassium; reproducibility; serum level; storage.

MeSH terms

  • Centrifugation / methods*
  • Humans
  • Potassium / blood*
  • Preservation, Biological*
  • Reproducibility of Results
  • Time Factors

Substances

  • Potassium