Digital Microfluidic Hemagglutination Assays for Blood Typing, Donor Compatibility Testing, and Hematocrit Analysis

© American Association for Clinical Chemistry 2021. All rights reserved. For permissions, please email: journals.permissionsoup.com..

BACKGROUND: Blood typing, donor compatibility testing, and hematocrit analysis are common tests that are important in many clinical applications, including those found in high-stakes settings such as the trauma center. These tests are typically performed in centralized laboratories with sample batching; the minutes that are lost in this mode can lead to adverse outcomes, especially for critical-care patients. As a step toward providing rapid results at the bedside, we developed a point-of-care hemagglutination system relying on digital microfluidics (DMF) and a unique, automated readout tool, droplet agglutination assessment using digital microfluidics (DAAD).

METHODS: ABO and Rhesus blood grouping, donor crossmatching, and hematocrit assays were developed on a portable DMF platform that allowed for automated sample processing. The result of each assay could be determined by eye or automatically with the DAAD imaging tool.

RESULTS: DMF-DAAD was applied to 109 samples collected from different sources (including commercial samples, pinpricks from volunteers, and a hospital blood bank), with perfect fidelity to gold-standard results. Some of these tests were carried out by a nonexpert in a hospital trauma center. Proof-of-concept results were also collected from smaller sample sets for donor compatibility testing and hematocrit analysis.

CONCLUSION: DMF-DAAD shows promise for delivering rapid, reliable results in a format well suited for a trauma center and other settings where every minute counts.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:67

Enthalten in:

Clinical chemistry - 67(2021), 12 vom: 26. Nov., Seite 1699-1708

Sprache:

Englisch

Beteiligte Personen:

Sklavounos, Alexandros A [VerfasserIn]
Lamanna, Julian [VerfasserIn]
Modi, Dimpy [VerfasserIn]
Gupta, Sidharth [VerfasserIn]
Mariakakis, Alex [VerfasserIn]
Callum, Jeannie [VerfasserIn]
Wheeler, Aaron R [VerfasserIn]

Links:

Volltext

Themen:

Instrumentation
Journal Article
Laboratory methods and tools
Point-of-care testing systems
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 13.04.2022

Date Revised 13.04.2022

published: Print

Citation Status MEDLINE

doi:

10.1093/clinchem/hvab180

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM331222930