Validación del signo de palidez palmar para diagnóstico de anemia en niños de Bucaramanga (Colombia)

Vecino, J. Cala; Latorre, José Fidel; Morales, O.L. Segovia; Serrano, R.; Gómez, C. Sandoval

doi:10.1016/s1695-4033(05)70248-4

Cited by 4 publications

(3 citation statements)

References 11 publications

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“…Improvement in the parental ability to recognize pallor will be a step towards controlling childhood anaemia. A way to achieve that is bridging the gap between presence of pallor and ability of parents to recognize it at home and present their children to the hospital due to paleness, rather than being only hospital-based findings during physical examination for other presenting symptoms [12, 13]. There are different point-of-care diagnostic tests for anaemia available [14–19] but deployment of such in individual homes was not feasible especially in low and middle income countries.…”

Section: Introductionmentioning

confidence: 99%

Parental Perception of Childhood Anaemia and Efficiency of Instrument Assisted Pallor Detection among Mothers in Southeast Nigeria: A Field Validation Study

Ughasoro

Madu

Kela-Eke

et al. 2019

International Journal of Pediatrics

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Background. Control of anemia can be achieved with early detection of pallor by parents at home. However, most parents lack the capacity to recognize pallor; thus most cases of anaemia are detected during hospital visit due to other symptoms. This study aimed to evaluate parental ability to detect pallor when aided with the anaemia screening tool. Methods. In the study information on the symptoms of illness and parental knowledge on anaemia. Their ability to detect anaemia aided with the Home-Base anaemia-screen tool (HB-Anae) was compared to the healthcare providers’ assessment of pallor. The haemoglobin estimation with the Hb-301 haemoglobinometer was used as the gold standard. Results. None of the children in their previous illnesses had paleness as a complaint. Few (20.8%) parents knew what anaemia meant. Only 18.3% knew sites on the body where pallor can be detected. Many (55.1%; 304/552) surveyed children were anaemic (Hb<11g/dl) based on HB 301. Majority (88.8%; 270/304) of the parents aided with the HB-Anae were able to detect pallor on the children who were anaemic compared to 95.1% (289/304) detected by healthcare workers unaided, and the difference was not statistically significant (p=0.25). Conclusion. There was poor knowledge on anaemia among parents. The ability of parents to detect anaemia could be improved with the simple HB-Anae screen tool.

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Section: Introductionmentioning

confidence: 99%

Parental Perception of Childhood Anaemia and Efficiency of Instrument Assisted Pallor Detection among Mothers in Southeast Nigeria: A Field Validation Study

Ughasoro

Madu

Kela-Eke

et al. 2019

International Journal of Pediatrics

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“…Ambos instrumentos, tienden a sobrestimar el grado de anemia, incrementando los falsos positivos. Sin embargo, en países con prevalencias tan altas como las nuestras, esta situación no sería perjudicial para la población, recibiendo pacientes sanos tratamiento barato e inocuo (22,23,24).…”

Section: Discussionunclassified

“…El grado de nutrición, de acuerdo a la escala de Waterlow, en la mayoría de los pacientes fue normal (39.3% de la población), seguido de un 27.7% de pacientes con sobrepeso, y una tasa de 13.5% de pacientes desnutridos crónicos en general. A diferencia de un estudio realizado por Cala Vecino (22), sí encontramos diferencias significativas en la concentración de hemoglobina de acuerdo al sexo. En nuestro estudio, a pesar de tener un género simétrico (50% hombres frente a 50% mujeres), se obtuvo mayor cantidad de mujeres con anemia (leve como moderada).…”

Section: Discussionunclassified

Sensibilidad y especificidad del signo de palidez palmar y escala de color de hemoglobina de la OMS, en comparación con la hemoglobina sanguínea, como método diagnóstico de anemia en niños de 2 meses a 5 años, en el Hospital Nacional A. Loayza

Alberti Delgado

2012

Horizmed

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y signo de palidez palmar, como instrumentos diagnósticos de anemia en menores de 5 años durante Agosto 2011, en el Hospital Nacional A. Loayza. Material y Métodos: Diseño no experimental, analítico, transversal, correlacional. Se incluyeron 112 pacientes, entre 2 a 60 meses de edad. Resultados: La media de hemoglobina sérica fue 11.16gr/dl (±1.42 DS). La anemia afectó en mayor proporción a las niñas. Según la escala de Clasificación Nutricional de Waterlow, el 39.3% de la población estuvo dentro el rango de normalidad. La prevalencia de anemia encontrada fue de 45.5%. Para anemia leve, el colorímetro obtuvo una sensibilidad del 66%, especificidad del 71%, valor predictivo positivo de 58% y valor predictivo negativo 78% (valor p<0.0001); el signo de palidez palmar obtuvo una sensibilidad de 74%, especificidad de 47%, valor predictivo positivo de 46% y valor predictivo negativo de 75% (valor p<0.028). Para anemia moderada, el colorímetro obtuvo sensibilidad del 66%, especificidad del 96%, VPP del 60% y VPN del 97% (valor p<0.00001), la palidez palmar no obtuvo significancia estadística (valor p=0.71). Conclusiones: La escala de color de hemoglobina de la OMS y el signo de palidez palmar, obtuvieron porcentajes de sensibilidad, especificidad, VPP y VPN similares a los reportados en la literatura. Ambas herramientas diagnósticas parecen tener el potencial necesario para ser usadas en establecimientos de salud de primer nivel. (Rev Horiz Med 2012;12(1):30-36. PALABRAS CLAVE: anemia, palidez palmar, escala de color de la OMS.

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Development of a Semaphore of Anemia: Screening Method Based on Photographic Images of the Ungueal Bed Using a Digital Camera

Hermoza

Cruz

Fernández

et al. 2020

2020 42nd Annual International Conference of the IEEE Engineering in Medicine &Amp; Biology Society (EMBC)

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Validación del signo de palidez palmar para diagnóstico de anemia en niños de Bucaramanga (Colombia)

Cited by 4 publications

References 11 publications

Parental Perception of Childhood Anaemia and Efficiency of Instrument Assisted Pallor Detection among Mothers in Southeast Nigeria: A Field Validation Study

Parental Perception of Childhood Anaemia and Efficiency of Instrument Assisted Pallor Detection among Mothers in Southeast Nigeria: A Field Validation Study

Sensibilidad y especificidad del signo de palidez palmar y escala de color de hemoglobina de la OMS, en comparación con la hemoglobina sanguínea, como método diagnóstico de anemia en niños de 2 meses a 5 años, en el Hospital Nacional A. Loayza

Development of a Semaphore of Anemia: Screening Method Based on Photographic Images of the Ungueal Bed Using a Digital Camera

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