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Platelet function studies

Test Background

Platelet aggregation at sites of vascular damage is a vital mechanism in the formation of a haemostatic plug. Inability to form a haemostatic plug successfully is linked to several inherited and acquired bleeding disorders. Platelet dysfunction may be inherited, acquired or induced by platelet-inhibiting agents, such as acetyl salicylic acid (aspirin). Studies indicate the platelet function assay (PFA) and template bleeding time (BT) give equivalent results in about 75 % of cases. Most of the discrepancies are patients with a normal BT and abnormal PFA test.
Aspirin and von Willebrand disease (vWD) are the most common causes for this discrepancy, since the bleeding time is very insensitive to aspirin and may miss as many as one third of cases of vWD.

Clinical Indications

Preoperative evaluation of platelet function Evaluation of women with menorrhagia
Determining the presence of drug-induced platelet dysfunction
Determining patient compliance with aspirin and other anti-platelet drugs
Determining platelet functionality in high-risk pregnancy
Evaluation of patients with suspected inherited or acquired platelet disorders, such as vWD
Evaluation of the bleeding patient
Monitoring DDAVP treatment in patients with type I vWD

Reference Range

COLL/ADP 60-120 s COLL/EPI 75-165 s

Turnaround time
24 hours
Sample & Container Required
4.5 mL sodium citrate (pale blue top) Additional samples will be needed where extended platelet function studies are required. Please contact the laboratory before taking samples.
Notes

Additional platelet function tests are available on request.

Record last updated
August 26, 2025

Sample Container

2.7 ml Sodium citrate Vacutainers (Light blue top)

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Test Results

Yes, we have a Pathology User Guide

Yes. Please email your request to Imperial.nwlpcustomerservice@nhs.net

Results are communicated to clinical staff and are normally not communicated direct to patients either on telephone requests or in written report. If you need to contact us please click here to view the contact details page

Please contact the Customer Service Team Monday to Friday from 8:30am – 6:00pm on 0203 313 5353. Alternatively, see the Pathology User Guide for how to contact the relevant department. If advice is not urgent you can also email your query to Imperial.nwlpcustomerservice@nhs.net

Additional tests may be added by discussion with the relevant laboratory. The time limit for adding additional tests to a sample already received in the laboratory will depend on the type of sample and the department it was sent to.

Information on the repertoire of tests performed by pathology, including reference ranges, turnaround times and specimen requirements, can be found in the test directory.

NWLP operates UKAS accredited medical laboratories as per the references below. The current scope of accreditation for all NWLP’s laboratories can be found on the UKAS website.

See the following UKAS ref numbers:

  • Clinical Biochemistry Ref: 8673
  • Haematology and Blood Transfusion Ref: 8674
  • Infection & Immunity Sciences (Including Immunology, Virology, Microbiology and Histocompatibility and Immunogenetics ) Ref: 8659
  • Cellular Pathology (Including Histopathology, Cytology and Molecular Pathology) Ref: 9615

If you require copies of our certificate of accreditation and associated documentation please contact Imperial.nwlpcustomerservice@nhs.net.

UKAS requires the laboratories to be accredited for a particular repertoire/scope (ISO15189), any changes or additions to repertoire require assessment by UKAS (extension to scope).

The BD Hospital Tube GuideBD GP Tube Guide and BD Paediatric Tube Guide provide visual references to the correct tube types and collection instructions.

Home testing

INSTRUCTION SHEET FOR BLOOD SAMPLE COLLECTION 

We also have two instruction videos available (one with subtitles and one without) – please click on the links to view the videos on Google.

VIDEO ON BLOOD SAMPLE COLLECTION (without subtitles)

VIDEO ON BLOOD SAMPLE COLLECTION (with subtitles)

Our accreditations

Upholding excellence in diagnostic standards

Our laboratories are accredited by the UK Accreditation Service (UKAS) against the international standard ISO15189:2022. UKAS is the accreditation body for the UK that assesses medical laboratories.

Find out more about our accreditations on the UKAS website.

UKAS website
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