Diagnostic Accuracy of Hemoglobin Levels and Red Blood Cell Parameters for Iron Deficiency in Adolescents: A Cross-Sectional Study.

IF 1.4 Q3 PEDIATRICS

Global Pediatric Health Pub Date : 2024-12-08 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241304642

Walaa M Alsafi, Ahmed A Gaffer, Abdullah Al-Nafeesah, Ashwaq AlEed, Jaber Alfaifi, Ishag Adam

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Abstract

Objective. To assess the performance of hemoglobin level and red blood cell parameters (mean corpuscular volume [MCV], mean corpuscular hemoglobin [MCH], mean corpuscular hemoglobin concentration [MCHC], and red blood cell distribution width [RDW]) in the diagnosis of iron deficiency among adolescents in eastern Sudan. Methods. A cross-sectional study. Results. Of 374 adolescents. The median age was 14.1 years. Of the participants, 62 (16.6%) had iron deficiency (serum ferritin level of < 15 µg/l). The hemoglobin, MCV, MCH, and MCHC values were significantly lower in adolescents with iron deficiency. The area under the receiver operating characteristic (ROC) curve was 0.71 for hemoglobin, 0.60 for MCV, 0.67 for MCH, 0.71 for MCHC, and 0.73 for RDW. Conclusion. In the current study, hemoglobin and red blood cell parameters were fairly accurate in diagnosing iron deficiency. They can be used to diagnose iron deficiency to avoid extra expense for the patients.

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血红蛋白水平和红细胞参数对青少年缺铁的诊断准确性：一项横断面研究。

目标。评估血红蛋白水平和红细胞参数（平均红细胞体积[MCV]、平均红细胞血红蛋白[MCH]、平均红细胞血红蛋白浓度[MCHC]和红细胞分布宽度[RDW]）在苏丹东部青少年缺铁诊断中的作用。方法。横断面研究。结果。374名青少年。中位年龄为14.1岁。其中62例（16.6%）存在铁缺乏（血清铁蛋白水平）。在目前的研究中，血红蛋白和红细胞参数在诊断缺铁方面是相当准确的。他们可以用来诊断缺铁，以避免额外的费用给病人。

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