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January 9, 2026International Journal of Laboratory Hematology

Measuring Direct Oral Anticoagulant Levels in Laboratory Practice: Impact of Different Storage Conditions of Blood Samples

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Key result

DOACs plasma levels remained stable after 24 h storage under various conditions, with median recoveries between 93% and 102%, ensuring accurate clinical interpretation.

Authors

ASAndrea SorrentinoARAngela RogolinoFCFrancesca Cesari

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Implication

Evaluates the stability of direct oral anticoagulant levels in plasma at different storage conditions, suggesting reliable measurement practices in clinical settings.

Key Points

  • The aim is to assess the stability of direct oral anticoagulant levels in plasma after 24 hours of varying storage conditions.
  • Enrolled 182 patients on four direct oral anticoagulants (DOACs).
  • Collected blood samples in duplicate citrated tubes for baseline values.
  • Processed one tube within 4 hours and stored the other under different conditions.
  • Measured DOAC concentrations using clotting or chromogenic assays.
  • Analyzed stability using non-parametric statistics and Bland–Altman analysis.
  • All DOACs maintained good stability with median recoveries of 93% to 102%.
  • No significant proportional errors were found.
  • Minor biases noted for apixaban, rivaroxaban, and edoxaban, but these are unlikely to affect clinical interpretations.
  • Variability in measurements was generally low, under 7%.

Cite This Study

Sorrentino et al. (2025) studied this question. DOACs plasma levels remained stable after 24 h storage under various conditions, with median recoveries between 93% and 102%, ensuring accurate clinical interpretation.

synapsesocial.com/papers/69609567f6dae357db7c149chttps://doi.org/10.1111/ijlh.70042
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Direct oral anticoagulants compared with vitamin K antagonists for acute venous thromboembolism: evidence from phase 3 trials2014 · 853 citations
  2. 2Dabigatran versus Warfarin in Patients with Atrial Fibrillation2009 · 11,282 citations