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Lipaemic samples: effective process for lipid reduction using high speed centrifugation compared with ultracentrifugation.
MedLine Citation:
PMID:  22141212     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
INTRODUCTION: Reducing laboratory errors and improving patient safety is receiving a lot of attention. Lipaemic samples are cause of analytical errors and present challenges for laboratories, particularly for those without ultracentrifuges. Lipaemia can originate from physiological (postprandial metabolism), para-physiological causes (e.g. IV administration of lipids) as well as metabolic disturbances (e.g. hypertriglyceridaemia).
MATERIALS AND METHODS: We have evaluated a procedure with 10 native lipaemic sample pools (triglyceride concentration range 11.6-42.7 mmol/L) for the ability to reduce lipid concentration using a high speed micro-centrifuge (double centrifuged at 21.885 x g for 15 min) compared with an ultracentrifuge, and provide accurate results. Results of sodium, creatinine, urate, total protein, lactate dehydrogenase (LD), magnesium and, cholesterol and triglyceride analysis on a Beckman DxC800 analyser are presented.
RESULTS: Data from our tertiary level hospital showed approximately 0.7% of the samples received for lipid studies have triglyceride levels > 10 mmol/L which can potentially cause analytical interference. The mean differences from the neat aliquot to the ultracentrifuged and high speed centrifuged sample pools were: cholesterol 4.9 mmol/L and 3.1 mmol/L; and triglycerides 17.4 mmol/L and 15.0 mmol/L respectively. The data confirms high speed centrifugation is almost as effective as ultracentrifugation in lipid reduction.
CONCLUSION: The procedure utilized in this study using a high speed micro-centrifuge showed it is effective in reducing lipid levels and provides a suitable alternative to ultracentrifuged samples to provide accurate results.
Authors:
Goce Dimeski; Brock W Jones
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Biochemia medica : časopis Hrvatskoga društva medicinskih biokemičara / HDMB     Volume:  21     ISSN:  1330-0962     ISO Abbreviation:  Biochem Med (Zagreb)     Publication Date:  2011  
Date Detail:
Created Date:  2011-12-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610305     Medline TA:  Biochem Med (Zagreb)     Country:  Croatia    
Other Details:
Languages:  eng     Pagination:  86-92     Citation Subset:  IM    
Affiliation:
Department of Chemical Pathology, Pathology Queensland, Princess Alexandra Hospital, Brisbane, Australia. goce_dimeski@health.qld.gov.au
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