Reliability and validity of palmar and conjunctival pallor for anemia detection purposes
DOI:
https://doi.org/10.1590/S0034-89102003000400003Keywords:
Anemia^i2^sdiagno, Pallor, Reproducibility of results, Anemia blood, Hemoglobins analysisAbstract
OBJECTIVE: To evaluate the reliability and the validity of the use of simple clinical signs as a method of anemia detection. METHODS: The study was carried out in a São Paulo, Brazil, day-care center, and included 135 children from ages 3 months-6 years. Hemoglobin level results and palmar and conjunctival pallor assessment were used. Children with Hb under 11g/dl were considered as anemic; subjective criteria were used for the assessment of palmar and conjunctival pallor. Kappa statistics were used in order to verify agreement, and, in order to evaluate the technique's validity, sensitivity and specificity levels were calculated. RESULTS: The results show low levels of agreement. There was a greater level of sensitivity to conjunctival pallor than to palmar pallor. Specificity results may be considered as good. CONCLUSIONS: It is still early to recommend the routine use of this technique. However, it could promote substantial savings if perfected.Downloads
Published
2003-08-01
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Section
Original Articles
How to Cite
Spinelli, M. G. N., Souza, J. M. P., Souza, S. B. de, & Sesoko, E. H. (2003). Reliability and validity of palmar and conjunctival pallor for anemia detection purposes . Revista De Saúde Pública, 37(4), 404-408. https://doi.org/10.1590/S0034-89102003000400003