Palm-plantar pallor as a diagnostic method of mild-moderate anemia

Objective: to determine the palm-plant paleness’ characteristics in Colombian infant rural population, as a diagnostic method of anemia, and to establish a correlation between the finding of palm-plant paleness and the Hematocrit values. Methodology: a cross sectional study was used to evaluate 169...

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Autores Principales: Rodríguez, Fabio, Huertas, Sandra, Céspedes Londoño, Jaime Aurelio, Velez-van-Meerbeke, Alberto
Formato: Artículo (Article)
Lenguaje:Español (Spanish)
Publicado: Universidad del Rosario 2010
Materias:
Acceso en línea:http://revistas.urosario.edu.co/index.php/revsalud/article/view/1215
http://repository.urosario.edu.co/handle/10336/7548
id ir-10336-7548
recordtype dspace
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic anemia; palidez palmo-plantar; niños; hematocrito; Colombia
spellingShingle anemia; palidez palmo-plantar; niños; hematocrito; Colombia
Rodríguez, Fabio
Huertas, Sandra
Céspedes Londoño, Jaime Aurelio
Velez-van-Meerbeke, Alberto
Palm-plantar pallor as a diagnostic method of mild-moderate anemia
description Objective: to determine the palm-plant paleness’ characteristics in Colombian infant rural population, as a diagnostic method of anemia, and to establish a correlation between the finding of palm-plant paleness and the Hematocrit values. Methodology: a cross sectional study was used to evaluate 169 boys and girls, between 2 months and 12 years old, of the rural area of San Vicente del Caguan, who entered into a Health Campaign. Following the signature of an informed consent, parents accept their children to participate in the study. Those with acute or chronic pathologies were excluded. The presence of palm-plant paleness was determined by observers trained in the Integrated Management of Childhood Illness (IMCI) Strategy. Hematocrit was measured to all children, as well as a peripheral blood smear. Interrater concordance evaluation (Kappa index) was determined through a pilot test and a validation (sensitivity, specificity) was performed, using Hematocrit as the standard. Results: 93 of the participants were male and 77 were female. 45% of them had palm paleness. The Hematocrit showed anemia in 34.1% of the children. The validation analysis demonstrated a 67.2% of sensibility, a 66.6% of specificity, a 51.3% of positive predictive values and a 79.5% of negative predictive values. Hypochromic and Eosinophilia were found in most of the peripheral blood smears’ children with anemia. Conclusions: although this tool presents a low sensibility and specificity for low/moderated anemia, it is useful for excluding it in infants without palm paleness.
format Artículo (Article)
author Rodríguez, Fabio
Huertas, Sandra
Céspedes Londoño, Jaime Aurelio
Velez-van-Meerbeke, Alberto
author_facet Rodríguez, Fabio
Huertas, Sandra
Céspedes Londoño, Jaime Aurelio
Velez-van-Meerbeke, Alberto
author_sort Rodríguez, Fabio
title Palm-plantar pallor as a diagnostic method of mild-moderate anemia
title_short Palm-plantar pallor as a diagnostic method of mild-moderate anemia
title_full Palm-plantar pallor as a diagnostic method of mild-moderate anemia
title_fullStr Palm-plantar pallor as a diagnostic method of mild-moderate anemia
title_full_unstemmed Palm-plantar pallor as a diagnostic method of mild-moderate anemia
title_sort palm-plantar pallor as a diagnostic method of mild-moderate anemia
publisher Universidad del Rosario
publishDate 2010
url http://revistas.urosario.edu.co/index.php/revsalud/article/view/1215
http://repository.urosario.edu.co/handle/10336/7548
_version_ 1645142364928344064
spelling ir-10336-75482019-09-19T12:37:01Z Palm-plantar pallor as a diagnostic method of mild-moderate anemia Palidez palmo-plantar como método diagnóstico de anemia leve-moderada Rodríguez, Fabio Huertas, Sandra Céspedes Londoño, Jaime Aurelio Velez-van-Meerbeke, Alberto anemia; palidez palmo-plantar; niños; hematocrito; Colombia Objective: to determine the palm-plant paleness’ characteristics in Colombian infant rural population, as a diagnostic method of anemia, and to establish a correlation between the finding of palm-plant paleness and the Hematocrit values. Methodology: a cross sectional study was used to evaluate 169 boys and girls, between 2 months and 12 years old, of the rural area of San Vicente del Caguan, who entered into a Health Campaign. Following the signature of an informed consent, parents accept their children to participate in the study. Those with acute or chronic pathologies were excluded. The presence of palm-plant paleness was determined by observers trained in the Integrated Management of Childhood Illness (IMCI) Strategy. Hematocrit was measured to all children, as well as a peripheral blood smear. Interrater concordance evaluation (Kappa index) was determined through a pilot test and a validation (sensitivity, specificity) was performed, using Hematocrit as the standard. Results: 93 of the participants were male and 77 were female. 45% of them had palm paleness. The Hematocrit showed anemia in 34.1% of the children. The validation analysis demonstrated a 67.2% of sensibility, a 66.6% of specificity, a 51.3% of positive predictive values and a 79.5% of negative predictive values. Hypochromic and Eosinophilia were found in most of the peripheral blood smears’ children with anemia. Conclusions: although this tool presents a low sensibility and specificity for low/moderated anemia, it is useful for excluding it in infants without palm paleness. Objetivo: determinar las características operativas de la palidez palmo-plantar en una población rural infantil colombiana como método diagnóstico de anemia, estableciendo la correlación con los valores de microhematocrito. Metodología: a través de un estudio de corte transversal para análisis de método diagnóstico, se evaluaron ciento sesenta y nueve niños y niñas entre los dos meses y los doce años de edad del área rural de influencia del municipio San Vicente del Caguán que ingresaron a una brigada de salud y aceptaron participar en el estudio, previo consentimiento informado. Se excluyeron aquellos con patologías agudas o crónicas que pudieran influenciar los resultados. Se determinó la presencia de palidez palmo-plantar por observadores entrenados en la estrategia de atención integrada a las enfermedades prevalentes en la infancia (AIEPI) y se midió el hematocrito por técnica manual microcapilar. Previo al análisis general, se realizó un estudio de concordancia entre los observadores; posteriormente se determinaron la sensibilidad, la especificidad y los valores predictivos positivo y negativo usando el hematocrito como estándar. Resultados: de la muestra evaluada, noventa y tres fueron varones y setenta y siete niñas; 45% tenía palidez palmar. Al medir el microhematocrito, 34,1% presentaba anemia. El análisis de prueba diagnóstica mostró una sensibilidad de 67,2%, una especificidad de 66,6%, un valor predictivo positivo de 51,3% y un valor predictivo negativo de 79,5%. En la mayoría de muestras del frotis de sangre periférica de niños anémicos se encontró hipocromía y eosinofilia. Conclusiones: aunque esta herramienta presenta una baja sensibilidad y especificidad cuando se trata de anemia leve-moderada, puede ser útil para excluir anemia en los niños ante la ausencia de palidez palmar. 2010-07-14 2010-07-14 2014-07-09T15:56:07Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://revistas.urosario.edu.co/index.php/revsalud/article/view/1215 http://repository.urosario.edu.co/handle/10336/7548 spa http://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess application/pdf Universidad del Rosario Revista Ciencias de la Salud; Vol. 8, núm. 1 (2010) Revista Ciencias de la Salud; Vol. 8, núm. 1 (2010) Revista Ciencias de la Salud; Vol. 8, núm. 1 (2010) 2145-4507 1692-7273 reponame:Repositorio Institucional EdocUR instname:Universidad del Rosario
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