Clinical pallor is useful to detect severe anemia in populations where anemia is prevalent and severe

Journal of Nutrition

Volumn 129, Issue 9, 1999, Pages 1675-1681

  Stoltzfus, Rebecca J ^a   Edward Raj, Anbarasi ^a   Dreyfuss, Michele L ^a   Albonico, Marco ^b   Montresor, Antonio ^c   Thapa, Makar Dhoj ^d   West Jr , Keith P ^a   Chwaya, Hababuu M ^e   Savioli, Lorenzo ^c   Tielsch, James ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b Ivo de Carneri Foundation   (Italy)

^c WORLD HEALTH ORGANIZATION   (Switzerland)

^d Nepal Netra Jyoti Sangh   (Nepal)

^e Elderly and Children   (Tanzania)

Author keywords

Anemia; Hemoglobin; Humans; Nepal; Zanzibar

Indexed keywords

ADULT; AGE; ANEMIA; ARTICLE; CHILD; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST BENEFIT ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISEASE ASSOCIATION; DISEASE SEVERITY; FEMALE; HEMOGLOBIN DETERMINATION; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MASS SCREENING; NEPAL; PALLOR; PREVALENCE; TANZANIA; VALIDATION PROCESS;

EID: 0032840237     PISSN: 00223166     EISSN: None     Source Type: Journal    
DOI: 10.1093/jn/129.9.1675     Document Type: Article

References (32)

1. Carson, J. L., Duff, A., Poses, R. M., Berlin, J. A., Spence, R. K., Trout, R., Noveck, H., & Strom, B. L. (1996) Effect of anaemia and cardiovascular disease on surgical mortality and morbidity. Lancet 348: 1055-1060.
2. Dreyfuss, M. L. (1998) Anemia and iron deficiency during pregnancy: etiologies and effects of birth outcomes in Nepal. (Doctoral Dissertation) The Johns Hopkins University, Baltimore, MD.
3. Gardner, G. W., Edgerton, V. R., Senewiratne, B., Barnard, R. J. & Ohira, Y. (1977) Physical work capacity and metabolic stress in subjects with iron deficiency anemia. Am. J. Clin. Nutr. 30: 910-917.
4. Gjorup, T., Bugge, P. M., Hendriksen, C. & Jensen, A. M. (1986) A critical evaluation of the clinical diagnosis of anemia. Am. J. Epidemiol. 124: 657-665.
5. Gujral, S., Abbi, R., Anderson, M. A., Christian, P. & Gopaldas, T. (1989) Agreement between haemoglobin estimation and anaemia recognition card in assessment of anaemia in pregnant women. Eur. J. Clin. Nutr. 43: 473-475.
6. Harrison, K. A. & Rossiter, C. E. (1985) Maternal mortality. Brit. J. Obstet. Gynaecol. Supp 5: 100-115.
7. Himes, J. H., Walker, S. P., Williams, S., Bennett, F. & Grantham-McGregor, S. M. (1997) A method to estimate prevalence of iron deficiency and iron deficiency anemia in adolescent Jamaican girls. Am. J. Clin. Nutr. 65: 831-836.
8. Jacobs, H. D., Farndell, P. R., Grobbelaar, P. S., Smith, D. J. & Bromfield, M. E. (1979) Observer bias and error in the integumentary clinical diagnosis of chronic anaemia. South Afr. Med. J. 55: 1031-1034.
9. Johnson-Spear, M. A. & Yip, R. (1994) Hemoglobin difference between black and white women with comparable iron status: justification for race-specific anemia criteria. Am. J. Clin. Nutr. 60: 117-121.
10. Kalter H. D., Burnham, G., Kolstad, P. R., Hossain, M., Schillinger, J. A., Khan, N. Z., Saha, S., de Wit, V., Kenya-Mugisha, N., Schwartz, B. & Black, R. E. (1997) Evaluation of clinical signs to diagnose anaemia in Uganda and Bangladesh, in areas with and without malaria. Bull. WHO 75 (Supp 1): 103-111.
11. Lackritz E. M., Campbell, C. C., Ruebush II, T. K., Hightower, A. W., Wakube, W., Steketee, R. W. & Were, J.B.O. (1992) Effect of blood transfusion on survival among children in a Kenyan hospital. Lancet 340: 524-528.
12. Levin, H. M., Pollitt, E., Galloway, R. & McGuire, J. (1993) Micronutrient deficiency disorders. In: Disease Control Priorities in Developing Countries (Jamison, D. T. & Mosley, W. H., eds.), Oxford University Press (World Bank), New York, NY.
13. Lilienfeld, A. M. & Lilienfeld, D. E. (1980) Foundations of Epidemiology, 2nd ed. Oxford University Press, New York, NY.
14. Llewellyn-Jones, D. (1965) Severe anaemia in pregnancy. Aust New Zealand J. Obstet. and Gynaecol. 5: 191-197.
15. Luby, S. P., Kazembe, P. N., Redd, S. C., Ziba, C., Nwanyanwu, O. C., Hightower, A. W., Franco, C., Chitsulo, L., Wirima, J. J. & Olivar, M. A. (1995) Using clinical signs to diagnose anaemia in African children. Bull. World Health Org. 73: 477-482.
16. Nardone, D. A., Roth, K. M., Mazur, D. J. & McAfee, J. H. (1990) Usefulness of physical examination in detecting the presence or absence of anemia. Arch. Intern. Med. 150: 201-204.
17. Politzer, W. M., Myburgh, W. M. & van der Merwe, J. F. (1988) Haemoglobin estimation - reliability of the copper sulphate specific gravity v. the cyanmet-hemoglobin colorimetric method. South Afr. Med. J. 73: 111-112.
18. Shah, U., Pratinidhi, A. K., Bhatlawande, P. V. & Alekar, S. V. (1984) Using community health workers to screen for anaemia. World Health Forum 5: 35-36.
19. Snedecor, G. W. & Cochran, W. G. (1980) Statistical Methods, 7th ed. Iowa State University Press, Ames, IA.
20. Stoltzfus, R. J., Chwaya, H. M., Tielsch, J. M., Schulze, K. J., Albonico, M. & Savioli, L. (1997) Epidemiology of iron deficiency anemia in Zanzibari school children. Am. J. Clin. Nutr. 65: 153-159.
21. Stoltzfus, R. J. (1997) Rethinking anaemia surveillance. Lancet 349: 1764-1766.
22. Stoltzfus, R. J. & Dreyfuss, M. L. (1998) Guidelines for the Use of Iron Supplements to Prevent and Treat Iron Deficiency Anemia. International Nutritional Anemia Consultative Group (INACG), Washington, D.C.
23. Stott, G. J. & Lewis, S. M. (1995) A simple and reliable method for estimating haemoglobin. Bull. World Health Org. 73: 369-373.
24. Strobach, R. S., Anderson, S. K., Doll, D. C. & Ringenberg, Q. S. (1988) The value of the physical examination in the diagnosis of anemia. Arch. Intern. Med. 148: 831-832.
25. Thaver, I. H. & Baig, L. (1994) Anaemia in children: Part. I. Can simple observations by primary care provider help in diagnosis? J Pak Med Assoc 44: 282-284.
26. Viteri, F. E. & Torun, B. (1974) Anaemia and physical work capacity. Clin Haematol 3: 609-626.
27. West, K. P., Jr., Katz, J., Khatry, S. K., LeClerq, S. D., Pradhan, E. K., Shrestha, S. R., Connor, P. B., Dali, S. M., Pokhrel, R. P., Sommer, A. (1999) Double blind, cluster randomised trial of low dose supplementation with vitamin A or beta carotene on mortality related to pregnancy in Nepal. The NNIPS-2 Study Group. Brit Med J 318: 570-575.
28. World Health Organization (1996) Report of the WHO Informal Consultation on Hookworm Infection and Anaemia in Girls and Women. WHO/CTD/SIP/96.1. WHO, Geneva, Switzerland.
29. World Health Organization & UNICEF (1995) Management of Childhood Illness. WHO, Geneva, Switzerland.
30. World Health Organization, UNICEF & United Nations University (1998) Iron Deficiency: Indicators for Assessment and Strategies for Prevention. WHO, Geneva, Switzerland.
31. Wurapa, F. K., Bulsara, M. K. & Boatin, B. A. (1986) Evaluation of conjunctival pallor in the diagnosis of anaemia. J. Trop. Med. Hyg. 89: 33-36.
32. Zucker, J. R., Perkins, B. A., Jafari, H., Otieno, J., Obonyo, C. & Campbell, C. C. (1997) Clinical signs for the recognition of children with moderate or severe anaemia in western Kenya Bull. WHO 78 (Supp 1): 97-102.