The Comparison of Hemoglobin and Leukocytes Examination Between Whole Blood and Pre-Diluted Modes on Hematology Analyzer

Authors

  • Esa Jongko Budi Angkoso D4 Medical Laboratory Technology, Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta.
  • Tri Dyah Astuti D4 Medical Laboratory Technology, Faculty of Health Sciences, Universitas ‘Aisyiyah Yogyakarta.

Keywords:

Hemoglobin, hematology analyzer, leukocytes, pre-diluted, whole blood

Abstract

Hematological testing plays a vital role in assessing the condition of blood and its components, such as hemoglobin and leukocytes. One of the commonly used methods is the automatic hematology analyzer, which operates with two measurement modes: whole blood for standard sample volumes (±1 mL) and pre-diluted for non-standard volumes (>20 µL to <1 mL), typically due to pre-analytical factors. This study aims to compare hemoglobin levels and leukocyte counts between the whole blood and pre-diluted modes. The study applied an observational analytic study with a cross-sectional design involving 30 randomly blood samples. Each sample was analyzed using both modes, and the results were statistically evaluated using a paired t-test. The findings revealed a significant difference in hemoglobin levels between the whole blood and pre-diluted modes (p = 0.002), while no significant difference was observed in leukocyte counts (p = 0.40). Although the difference in hemoglobin levels was statistically significant, it was not clinically relevant, and both modes obtained results that were acceptable for clinical interpretation.

References

Amelia, V., Nurhayati, B., Hayati, E., & Rahmat, M. (2023). Perbandingan Nilai Indeks Eritrosit Dari Darah Whole Blood Dan Pre Diluent Pada Hematology Analyzer Medonic M32. Perbandingan Nilai Indeks Eritrosit Dari Darah Whole Blood Dan Pre Diluent Pada Hematology Analyzer Medonic M32, 28–41.

Andriyani, Y., Kusumaningrum, S.B.C., dan Sepvianti, W., 2019. Gambaran Jumlah Eritrosit pada Whole Blood Selama 30 hari Penyimpanan di PMI Kabupaten Sleman Yogyakarta. Conference on Research and Community Services, 1(1): 463-467.

Arif, Mansyur. 2015. Penuntun Praktikum Hematologi. Universitas Hasanudin Makassar

Bain, BJ. 2014. Hematologi Kurikulum Inti. Jakarta : EGC. Sadikin, 2022

Darmayani, S., Hasan, F. E., & Ekafitria, D. (2016). Perbedaan Hasil Pemeriksaan Jumlah Leukosit Antara Metode Manual Improved Neubauer Dengan Metode Automatic Hematology Analyzer. Jurusan Analis Kesehatan Poltekkes Kemenkes Kendari.

Gina, Kamila and Hayati, Eem and Marliana, Nina and Noviar, Ganjar (2020) Perbandingan Kadar Hemoglobin, Jumlah Leukosit dan Trombosit dari Darah Mode Whole Blood dan Pre Diluent Menggunakan Hematology Analyzer. Diploma thesis, Politeknik Kesehatan Kemenkes Bandung.

Hariani Nurjanah, M., Pranidya Tilarso, D., & Eka Rahmawati, S. (2023). Gambaran Kadar Hemoglobin Menggunkan Metode Pengukuran Hematology Analyzer Pada Ibu Hamil Desa Sumberdadi Kabupaten Tulungagung. 3(1), 32–38.

Hidayat, K. (2020). Hubungan Jumlah Leukosit dan Persentase Limfosit terhadap TIngkat Demam pada Pasien Anak dengan Demam Tifoid di RSUD Budhi Asih. Seminar Nasional Riset Kedokteran,10(2), 60-65.

Jurastiwi. (2017). Perbedaan hasil pemeriksaan hitung jumlah leukosit metode manual dengan metode automatic hematology analyzer [skripsi]. Jurastiwi, 1–49.

Notoatmodjo, 2018. Metode Penelitian Kesehatan. Rineka Cipta. Jakarta.

Siska, A. (2020). Perbedaan Hasil Pemeriksaan Jumlah Leukosit Antara Metode Manual Improved Neubauer Dengan Metode Automatic Hematologi Analyzer Di Rsud M.Natsir Solok. Perbedaan Hasil Pemeriksaan Jumlah Leukosit Antara Metode Manual Improved Neubauer Dengan Metode Automatic Hematologi Analyzer Di Rsud M.Natsir Solok.

Shintia. (2019). Perbandingan Pemeriksaan Hematologi Rutin dari Darah Mode Whole Blood dan Pre Diluent. Bandung Poltekkes Kemenkes Bandung

Suryani, N., Sukeksi, A., & Ariyadi, T. (2018). Perbedaan Hasil Pemeriksaan Kadar Hemoglobin Dengan Menggunakan Stik(Hb Meter)Dan Hematology Analyzer. Jurnal Universitas Muhammadiyah Semarang. Available at: http://repository.unimus.ac.id

Wahid, A. A., & Purwaganda, W. 2015. Perbandingan Hasil Pemeriksaan Hitung Jenis Leukosit Menggunakan Metode Manual Dengan Laser-Based Flowcytometry. Jurnal Kesehatan Rajawali, Vol. 5, No. 9, 24

Widianto, R. (2019). Perbedaan Hasil Pemeriksaan Hemoglobin dengan Point Of Care Testing ( Poct ) Pada Sampel Darah Vena dan Kapiler Differences in Hemoglobin Test Results with Point Of Care Testing ( POCT ) in Blood Samples Veins and Capillaries. 267–271.


Downloads

Published

2025-10-22

How to Cite

Budi Angkoso, E. J., & Astuti, T. D. (2025). The Comparison of Hemoglobin and Leukocytes Examination Between Whole Blood and Pre-Diluted Modes on Hematology Analyzer. Proceeding International Conference on Health Science and Technology, 1, 31–35. Retrieved from https://proceeding.unisayogya.ac.id/index.php/proichst/article/view/1516

Issue

Section

Research