Reliability and validity of palmar and conjunctival pallor for anemia detection purposes

Detalhes bibliográficos
Autor(a) principal: Spinelli, Mônica Glória N
Data de Publicação: 2003
Outros Autores: Souza, José Maria P, Souza, Sônia B de, Sesoko, Edna H
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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spelling 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
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