Haemoglobin measurement by point-of-care devices- a need of the hour: study conducted on antenatal females

Authors

  • Aman Kumar Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Sheetal Arora Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Surabhi Sethi Department of Community Medicine, North Delhi Municipal Corporation and Hindu Rao Hospital, New Delhi, India
  • Sunil Ranga Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20223629

Keywords:

Capillary blood, Finger prick, Venous

Abstract

Background: Haemoglobin measurement in antenatal care can help in timely detection and treatment of anaemia, which is a major contributory factor to maternal mortality in developing countries. The transport of samples for haemoglobin assessment may delay the treatment, resulting in preventable deaths. Haemoglobin measurement by point of care testing (POCT) devices is easy, quick and less invasive. There are very few studies which compare the capillary blood haemoglobin using point of care devices with venous blood samples. This study was conducted to compare capillary blood haemoglobin using POCT device with venous blood haemoglobin using haematology analysers in antenatal Indian females.

Methods: One hundred pregnant women were recruited during their first trimester antenatal visits. Hemoglobin by finger prick capillary sample (POCT) was compared with haemoglobin of venous sample analysed by the haematology analyser (Beckman coulter) which was considered as gold standard. Intraclass correlation co-efficient based on Bland Altman analysis was computed using SPSS v21. A p value less than 0.05 was considered statistically significant.

Results: The intraclass correlation coefficient of 0.97 was recorded with central laboratory reference standard, with a mean difference of -0.481 gm% and -0.482 gm% by capillary and venous blood samples, respectively (p<0.0001).

Conclusions: A good agreement between capillary blood haemoglobin (POCT device) and venous blood (haematology analyser) was achieved.

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Author Biographies

Aman Kumar, Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

   MBBS MD (Pathology)

   Senior Resident

   Department of Pathology

   VMMC& Safdarjung Hospital

   New Delhi

Sheetal Arora, Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Associate Professor

Department Of Pathology

VMMC & Safdarjung Hospital
New Delhi

Surabhi Sethi, Department of Community Medicine, North Delhi Municipal Corporation and Hindu Rao Hospital, New Delhi, India

    Assistant Professor

    Department of Community Medicine

   NDMC & Hindu Rao Hospital

   New Delhi

Sunil Ranga, Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

  Professor & Consultant 

   Department of Pathology

   VMMC& Safdarjung Hospital

   New Delhi

 

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Published

2022-12-30

How to Cite

Kumar, A., Arora, S., Sethi, S., & Ranga, S. (2022). Haemoglobin measurement by point-of-care devices- a need of the hour: study conducted on antenatal females. International Journal of Research in Medical Sciences, 11(1), 156–161. https://doi.org/10.18203/2320-6012.ijrms20223629

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Original Research Articles