Frequency and Associated Factors of Clotted and Hemolyzed Samples in South Gonder Hospitals, Ethiopia: A Multicenter Cross-Sectional Study, 2023.
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Malkamu Birhanemaskal, Yemata Getaneh Atikilt, Almaw Andargachew, Assefa Ayenew, Getie Birhanu, Kiros Teklehaimanot, Erkihun Mulat, Damtie Shewaneh, Tiruneh Tegenaw, Mekonnen Berhanu Abebaw, Alemayehu Meron Asmamaw, Teym Abraham, Temesgen Abathun, Bayeh Gashaw Melkie, Yeshiwas Almaw Genet, Anteneh Rahel Mulatie, Zemene Melkamu Aderajew, Shimels Tesfaneh, Yenew Chalachew, Ayele Wolde Melese, Ahmed Ahmed Fentaw, Kassa Assefa Andargie, Tsega Tilahun Degu, Ayalew Chalachew Abiyu, Tsega Sintayehu Simie, Yigzaw Zeamanuel Anteneh, Ejigu Amare Genetu, Addis Wondimnew Desalegn, Yirdaw Getasew, Sharew Kalaab Esubalew, Adane Daniel, Dagnew Samuel Berihun, Arega Gebyaw, Mekonen Habitamu
Аннотация
METHODS: This institutionally based cross-sectional study was conducted from September to December 2023 in northwestern Ethiopia at the medical hematology laboratories of selected South Gonder Zone hospitals. Debre Tabor's specialized referral hospital was selected. Addis Zemen and Nefas Mewcha primary hospitals were chosen at random.
RESULTS: Among the 2331 test samples, 829 (35.6%) were clotted, and 269 (11.5%) were hemolyzed. We found a significant association of clotting with contamination, inadequate sample volume, puncture site other than the median cubital region, more than three attempts to collect blood, and the use of a partially filled collection tube when attempting another vein puncture.
CONCLUSION: On the basis of our observations, the findings presented here have a significant impact on patient diagnosis and treatment, leading to delayed or inaccurate diagnoses, inappropriate treatment decisions, increased risk of adverse events, and increased healthcare costs.