Reliability and validity of palmar and conjunctival pallor for anemia detection purposes
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31608 |
Resumo: | 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. |
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Reliability and validity of palmar and conjunctival pallor for anemia detection purposes Confiabilidade e validade da palidez palmar e de conjuntivas como triagem de anemia Anemia^i1^sdiagnóstPalidezReprodutibilidade de resultadosAnemia^i1^ssanHemoglobinas^i1^sanálAnemia^i2^sdiagnoPallorReproducibility of resultsAnemia bloodHemoglobins analysis 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. OBJETIVO: Avaliar a confiabilidade e a validade do uso de sinais clínicos simples de palidez palmar e de conjuntivas, como método para triagem de anemia. MÉTODOS: Estudo realizado em uma creche municipal de São Paulo, SP, com 135 crianças >;3 meses e Universidade de São Paulo. Faculdade de Saúde Pública2003-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3160810.1590/S0034-89102003000400003Revista de Saúde Pública; Vol. 37 No. 4 (2003); 404-408 Revista de Saúde Pública; Vol. 37 Núm. 4 (2003); 404-408 Revista de Saúde Pública; v. 37 n. 4 (2003); 404-408 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31608/33494Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSpinelli, Mônica Glória NSouza, José Maria PSouza, Sônia B deSesoko, Edna H2012-07-08T14:55:48Zoai:revistas.usp.br:article/31608Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:55:48Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Reliability and validity of palmar and conjunctival pallor for anemia detection purposes Confiabilidade e validade da palidez palmar e de conjuntivas como triagem de anemia |
title |
Reliability and validity of palmar and conjunctival pallor for anemia detection purposes |
spellingShingle |
Reliability and validity of palmar and conjunctival pallor for anemia detection purposes Spinelli, Mônica Glória N Anemia^i1^sdiagnóst Palidez Reprodutibilidade de resultados Anemia^i1^ssan Hemoglobinas^i1^sanál Anemia^i2^sdiagno Pallor Reproducibility of results Anemia blood Hemoglobins analysis |
title_short |
Reliability and validity of palmar and conjunctival pallor for anemia detection purposes |
title_full |
Reliability and validity of palmar and conjunctival pallor for anemia detection purposes |
title_fullStr |
Reliability and validity of palmar and conjunctival pallor for anemia detection purposes |
title_full_unstemmed |
Reliability and validity of palmar and conjunctival pallor for anemia detection purposes |
title_sort |
Reliability and validity of palmar and conjunctival pallor for anemia detection purposes |
author |
Spinelli, Mônica Glória N |
author_facet |
Spinelli, Mônica Glória N Souza, José Maria P Souza, Sônia B de Sesoko, Edna H |
author_role |
author |
author2 |
Souza, José Maria P Souza, Sônia B de Sesoko, Edna H |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Spinelli, Mônica Glória N Souza, José Maria P Souza, Sônia B de Sesoko, Edna H |
dc.subject.por.fl_str_mv |
Anemia^i1^sdiagnóst Palidez Reprodutibilidade de resultados Anemia^i1^ssan Hemoglobinas^i1^sanál Anemia^i2^sdiagno Pallor Reproducibility of results Anemia blood Hemoglobins analysis |
topic |
Anemia^i1^sdiagnóst Palidez Reprodutibilidade de resultados Anemia^i1^ssan Hemoglobinas^i1^sanál Anemia^i2^sdiagno Pallor Reproducibility of results Anemia blood Hemoglobins analysis |
description |
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. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31608 10.1590/S0034-89102003000400003 |
url |
https://www.revistas.usp.br/rsp/article/view/31608 |
identifier_str_mv |
10.1590/S0034-89102003000400003 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31608/33494 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 37 No. 4 (2003); 404-408 Revista de Saúde Pública; Vol. 37 Núm. 4 (2003); 404-408 Revista de Saúde Pública; v. 37 n. 4 (2003); 404-408 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221781312667648 |