Haemolysis as an interference factor in clinical chemistry

J Clin Chem Clin Biochem. 1986 Feb;24(2):127-39.

Abstract

Using fully mechanized analytical equipment, interference by haemolysis in the determination of 26 clinical chemical parameters was determined quantitatively by adding haemolysate to serum. Haemoglobin concentrations up to 6.6 g/l caused essentially no interference in the following determinations: albumin (immuno-nephelometric), alpha-amylase, calcium, chloride, cholesterol, cholinesterase, creatinine, iron, glucose, glutamate dehydrogenase, uric acid, urea, sodium, inorganic phosphate, total protein, transferrin and triglycerides. In the presence of haemoglobin, erroneously high values were found for: lactate dehydrogenase (haemoglobin higher than 0.2 g/l), aspartate aminotransferase, potassium and acid phosphate (haemoglobin higher than 1.5 g/l), creatine kinase (haemoglobin higher than 2.5 g/l) and alanine aminotransferase (haemoglobin higher than 3.4 g/l). Erroneously low values were found for bilirubin (haemoglobin higher than 0.8 g/l), alkaline phosphatase and albumin (by electrophoresis) (haemoglobin higher than 1.5 g/l) and gamma-glutamyltransferase (haemoglobin higher than 3.0 g/l).

MeSH terms

  • Blood Chemical Analysis
  • Blood Glucose / metabolism
  • Blood Protein Electrophoresis
  • Chemistry, Clinical*
  • Creatinine / blood
  • Electrolytes / blood
  • Enzymes / blood
  • Hemoglobinometry
  • Hemolysis*
  • Humans

Substances

  • Blood Glucose
  • Electrolytes
  • Enzymes
  • Creatinine