Accuracy and reliability of pallor for detecting anaemia: A hospital-based diagnostic accuracy study

PLoS ONE

Volumn 5, Issue 1, 2010, Pages

  Kalantri, Ashwini ^a   Karambelkar, Mandar ^a   Joshi, Rajnish ^a   Kalantri, Shriprakash ^a   Jajoo, Ulhas ^a  

^a MAHATMA GANDHI INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

[No Author keywords available]

Indexed keywords

HEMOGLOBIN;

ADOLESCENT; ADULT; AGED; ANEMIA; ARTICLE; BLOOD SAMPLING; CHILD; CONJUNCTIVA; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; FEMALE; HEMOGLOBIN BLOOD LEVEL; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; NAIL BED; PALLOR; PROSPECTIVE STUDY; RELIABILITY; SCHOOL CHILD; STANDARD; TEACHING HOSPITAL; TONGUE; MIDDLE AGED; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY; STATISTICAL MODEL;

ADULT; ANEMIA; FEMALE; HEMOGLOBINS; HUMANS; LIKELIHOOD FUNCTIONS; MALE; MIDDLE AGED; PALLOR; ROC CURVE; SENSITIVITY AND SPECIFICITY;

EID: 77649084525     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0008545     Document Type: Article

References (24)

1. International Nutrition Anemia Consultative Group: INACG Symposium. 12 March 1999; Durban, South Africa ILSI Research Foundation, Washington, D.C.:I-60.
2. Sheth TN, Choudhry NK, Bowes M, Detsky AS (1997) The relation of conjunctival pallor to the presence of anemia. J Gen Intern Med 12: 102-106.
3. Chalco JP, Huicho L, Alamo C, Carreazo NY, Bada CA (2005) Accuracy of clinical pallor in the diagnosis of anaemia in children: a meta-analysis. BMC Pediatr 5: 46.
4. Gjorup T, Bugge PM, Hendriksen C, Jensen AM (1986) A critical evaluation of the clinical diagnosis of anemia. Am J Epidemiol 124: 657-665.
5. Hung OL, Kwon NS, Cole AE, Dacpano GR, Wu T, et al. (2000) Evaluation of the physician's ability to recognize the presence or absence of anemia, fever, and jaundice. Acad Emerg Med 7: 146-156.
6. Nardone DA, Roth KM, Mazur DJ, McAfee JH (1990) Usefulness of physical examination in detecting the presence or absence of anemia. Arch Intern Med 150: 201-204.
7. Altman DG (1991) Practical statistics for medical research. London: Chapman & Hall. pp 403-409.
8. Wurapa FK, Bulsara MK, Boatin BA (1986) Evaluation of conjunctival pallor in the diagnosis of anaemia. J Trop Med Hyg 89: 33-36.
9. Desai MR, Phillips-Howard PA, Terlouw DJ, Wannemuehler KA, Odhacha A, et al. (2002) Recognition of pallor associated with severe anaemia by primary caregivers in western Kenya. Trop Med Int Health 7: 831-839.
10. McGee S (2002) Simplifying likelihood ratios. J Gen Intern Med 17: 646-649.
11. Grimes DA, Schulz KF (2005) Refining clinical diagnosis with likelihood ratios. Lancet 365: 1500-1505.
12. Muhe L, Oljira B, Degefu H, Jaffar S, Weber MW (2000) Evaluation of clinical pallor in the identification and treatment of children with moderate and severe anaemia. Trop Med Int Health 5: 805-810.
13. Moons KGM, Biesheuvel CJ, Grobbee DE (2004) Test Research versus Diagnostic Research. Clin Chem 50: 473-476.
14. Fourn L, Salami L (2004) [Diagnostic value of tegument pallor in anemia in pregnant women in Benin]. Sante Publique 16: 123-132.
15. Gies S, Brabin BJ, Yassin MA, Cuevas LE (2003) Comparison of screening methods for anaemia in pregnant women in Awassa, Ethiopia. Trop Med Int Health 8: 301-309.
16. Kalter HD, Burnham G, Kolstad PR, Hossain M, Schillinger JA, et al. (1997) Evaluation of clinical signs to diagnose anaemia in Uganda and Bangladesh, in areas with and without malaria. Bull World Health Organ 75 Suppl 1: 103-111.
17. Stoltzfus RJ, Edward-Raj A, Dreyfuss ML, Albonico M, Montresor A, et al. (1999) Clinical pallor is useful to detect severe anemia in populations where anemia is prevalent and severe. J Nutr 129: 1675-1681.
18. Lindblade KA, Mwololo K, van Eijk AM, Peterson E, Odhiambo F, et al. (2006) Evaluation of the WHO Haemoglobin Colour Scale for diagnosis of anaemia in children and pregnant women as used by primary health care nurses and community health workers in western Kenya. Trop Med Int Health 11: 1679-1687.
19. Luby SP, Kazembe PN, Redd SC, Ziba C, Nwanyanwu OC, et al. (1995) Using clinical signs to diagnose anaemia in African children. Bull World Health Organ 73: 477-482.
20. Mogensen CB, Soerensen J, Bjorkman A, Montgomery SM (2006) Algorithm for the diagnosis of anaemia without laboratory facilities among small children in a malaria endemic area of rural Tanzania. Acta Trop 99: 119-125.
21. Mogensen CB, Sorensen JE, Bjorkman A (2006) Pallor as a sign of anaemia in small Tanzanian children at different health care levels. Acta Trop 99: 113-118.
22. Weber MW, Kellingray SD, Palmer A, Jaffar S, Mulholland EK, et al. (1997) Pallor as a clinical sign of severe anaemia in children: an investigation in the Gambia. Bull World Health Organ 75 Suppl 1: 113-118.
23. Zucker JR, Perkins BA, Jafari H, Otieno J, Obonyo C, et al. (1997) Clinical signs for the recognition of children with moderate or severe anaemia in western Kenya. Bull World Health Organ 75 Suppl 1: 97-102.
24. Prakash S, Kapil U, Singh G, Dwivedi SN, Tandon M (1999) Utility of HemoCue in estimation of hemoglobin against standard blood cell counter method. J Assoc Physicians India 47: 995-997.