Academic Journal

Digoxin Levels and It's Stability in Different Blood Collection Tubes.

التفاصيل البيبلوغرافية
العنوان: Digoxin Levels and It's Stability in Different Blood Collection Tubes.
Alternate Title: Farklı Kan Toplama Tüplerinde Digoksin Seviyeleri ve Stabilitesi. (Turkish)
المؤلفون: Arslan, Fatma Demet, Karakoyun, İnanç, Başok, Banu İşbilen, Solmaz, Hatice, Aksit, Merve Zeytinli, Baysoy, Anıl, Duman, Can
المصدر: Journal of Academic Research in Medicine; 2020, Vol. 10 Issue 2, p111-116, 6p
مصطلحات موضوعية: DIGOXIN, CARDIAC glycosides, DRUG monitoring research, BLOOD collection, COLLECTION & preservation of biological specimens, LABORATORY equipment & supplies
Abstract (English): Objective: Digoxin is monitored because of its narrow range of therapeutic doses and risk of toxicity. Thus, we aimed to evaluate the effect of different blood collection tubes on digoxin levels and its stability. Methods: Samples from 30 volunteers who received digoxin therapy were collected in 5 different tubes: no additive and gel-free glass tube (Z-tube) (reference tube), clot-activator tubes containing gel (Vacusera), clot-activator tubes containing gel (serum separator tube), barrier-free lithium heparinized tube (LiH), and new lithium heparinized tube with a barrier (Barricor). Digoxin levels in tubes were analyzed at 0 and 48 hours (h). Results: No statistical difference was found between 0 and 48 h results in other tubes, except for LiH, and the difference in LiH was also not clinically significant. Digoxin levels in other tubes were not statistically different according to the reference tube, except for Barricor. The digoxin level in Barricor was clinically significantly higher than that in the reference tube. Although a strong correlation was found in the digoxin level between Barricor and Z-tubes, a proportional increase in digoxin level in Barricor was determined. Conclusion: The digoxin levels in the tubes may be used interchangeably, except for Barricor. The reliability and accuracy of digoxin levels may be increased by the identification of a new therapeutic range for Barricor. [ABSTRACT FROM AUTHOR]
Abstract (Turkish): Amaç: Digoksin, dar terapötik doz aralığı ve toksisite riski nedeniyle monitorize edilir. Bundan dolayı, farklı kan toplama tüplerinin digoksin düzeyleri ve stabilitesi üzerindeki etkisini değerlendirmeyi amaçladık. Yöntemler: Digoksin tedavisi alan 30 gönüllüden alınan örnekler beş farklı tüpte toplandı: katkı maddesi ve jel içermeyen cam tüp (Z-tüpü) (referans tüp), jel içeren pıhtı aktivatörlü tüp (Vacusera), jel içeren pıhtı aktivatörlü tüp (Serum separatör tüp), bariyersiz lityum heparinli tüp (LiH) ve bariyerli yeni lityum heparinli tüp (Barricor). Tüplerdeki digoxin seviyeleri 0 ve 48. saatlerde analiz edildi. Bulgular: LiH hariç diğer tüplerde 0 ve 48. saatlerde istatistiksel olarak anlamlı bir fark yoktu ve LiH'deki farklılık da klinik olarak anlamlı değildi. Barricor hariç diğer tüplerdeki digoksin düzeyleri referans tüpe göre istatistiksel olarak farklı bulunmadı. Barricor'da digoksin seviyesi referans tüpünden klinik olarak daha yüksek bulundu. Barricor ve Z-tüpünün digoksin sonuçları arasında kuvvetli bir korelasyon olmasına rağmen Barricor'un digoksin sonuçlarında oransal bir artış tespit edildi. Sonuç: Barricor hariç, tüplerdeki digoksin seviyeleri birbirinin yerine kullanılabilir. Digoksin sonuçlarının güvenilirliği ve doğruluğu, Barricor için yeni terapötik aralığın tanımlanmasıyla artırılabilir. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:21466505
DOI:10.4274/jarem.galenos.2019.2597