Reliability and validity of clinical signs for anemia detection in school children
Journal Title: Medpulse International Journal of Pediatrics - Year 2019, Vol 9, Issue 1
Abstract
Anemia is widely prevalent in developing world and also is a public health challenge in India. It is a serious concern because it can result in impaired cognitive performance, behavioural and motor development, coordination, language development, and scholastic performance. It also leads to increased morbidity from infectious diseases. The present study was designed to evaluate the accuracy and reliability of clinical signs in children by studying their sensitivity and specificity in comparison to haemoglobin assessment in diagnosis of anaemia and to study the inter-observer agreement of pallor examination to diagnose anaemia in urban school children 6-14 years of age in this region. An Observational cross- sectional study was conducted among school children aged 6–14 years in urban government schools from January 2017 to January 2018. In this study, 450 urban government school children in age group of 6-14 years were included and they were observed by two separate doctors for clinical signs of Anemia. 54 students were excluded. The incidence of Anemia was 60% i.e. 237 children out of 394. Both doctors found that palmar pallor had highest sensitivity when Anemia was severe. The sensitivity for mild and moderate was quite low. Specificity of all sites was high and for severe pallor was 100%. Fleiss Kappa was used as a measure to review inter observer reliability at the different sites. It is to be noted that the Kappa for all sites are above 0.8 which indicates an almost perfect agreement on the pallor between the 2 observers. In the present study, the prevalence of Anemia was high in school children. According to the present study conjunctiva and palm were the most sensitive to assess the severity of Anemia. Clinical assessment of pallor can be used as initial screening tool for diagnosing Anemia in school children especially in places where prevalence in high and early incorporation of treatment.
Authors and Affiliations
Srikrishna S, Nagendra Prasad K, Natasha Ahmad, Ravi kiran M, Ajay Kumar Reddy Bobba
Keywords
Related Articles
- EP ID EP443809
- DOI 10.26611/1014912
- Views 195
- Downloads 0
Study of hematological and coagulation profile of term neonates born to mothers with PIH as compared to term neonates born to normotensive mothers
Objectives: To study the changes in Hematological and Coagulation profile of newborns born to mothers with hypertensive disorders of pregnancy and in neonates born to normotensive mothers. Methods: A prospective study to...
Study to assess conditions associated with xerophthalmia and compliance of VADD control programme among children in rural area of Salem
Background: As a vitamin, A deficiency progresses, the epithelial tissues of the eye become severely altered. Xerophthalmia is a very characteristic lesion of Vitamin A deficiency. The plasma retinol level is not an accu...
Role of modified Glasgow coma scale to predict outcome in nontraumatic coma
a
A study of treatment protocols of surviours and non surviours of status epilepticus in children
Background: Status epilepticus (SE) is a serious neurological problem in children. In this study we aimed to determine the etiology and outcome of SE in children treated according to aa protocol. Aim and Objective: To st...
Clinical profile of neonates with jaundice: A descriptive study
Ensuring a safe level of serum bilirubin and brain damage prevention is the primary aim of the treatment. Reduction of serum bilirubin levels and prevention of neurotoxicity can be achieved by phototherapy, exchange tran...