De la Cruz-Góngora V, Méndez-Gómez-Humarán I, Jaimes-Terán S, Gaytán M, Gómez-Acosta LM, Vizuet-Vega NI, Gaona-Pineda EB, Cuevas-Nasu L, Romero M, Dary O, Shamah-Levy T

Language: English
References: 18
Page: 612-619
PDF size: 531.08 Kb.

ABSTRACT

Objective. To validate hemoglobin (Hb) concentration in venous blood (VB) using the HemoCue 201+ in a subsample of children and women from the Mexican National Health and Nutrition Survey 2022. Materials and methods. Prior to field work 50 HemoCue 201+ devices were verified using venous blood. During the field work 57 children (aged 1-11) and 62 women (aged 12-49) donated 3 mL of VB each. Hb was measured in each device of HemoCue 201+ and in a hematologic autoanalyzer for the validation. Results. No significant bias was found in most of the devices. An adjustment criterion was used for 22 devices. Hb mean difference results were -0.049±0.578 g/dL in children and -0.098±0.628 g/dL in women. Conclusions. The HemoCue 201+ is a valid tool for estimating Hb concentration to produce reliable estimates of anemia prevalence when using venous blood.

REFERENCES

1. Organización Mundial de la Salud. Marco global de vigilancia ennutrición: directrices operacionales para el seguimiento de los progresoshacia el logro de las metas para 2025. Geneva: OMS, 2018 [citedApril 24, 2016]. Available from: https://www.who.int/es/publications/i/item/9789241513609

2. Rivera JA, Sotres-Álvarez D, Habicht JP, Shamah-Levy T, VillalpandoS. Impact of the Mexican program for education, health, and nutrition(Progresa) on rates of growth and anemia in infants and young children. Arandomized effectiveness study. J Am Med Assoc. 2004;291(21):2563-70.https://doi.org/10.1001/jama.291.21.2563

3. Shamah-Levy T, Vielma-Orozco E, Heredia-Hernández O, Romero-MartínezM, Mojica-Cuevas J, Cuevas-Nasu L, et al. Encuesta Nacional de Salud yNutrición 2018-19: Resultados Nacionales. Cuernavaca: Instituto Nacional deSalud Pública, 2020 [cited April 24, 2016]. Available from: https://ensanut.insp.mx/encuestas/ensanut2018/doctos/informes/ensanut_2018_informe_final.pdf

4. Gutiérrez JP, Rivera-Dommarco JÁ, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, et al. Encuesta Nacional de Salud yNutrición 2012. Resultados Nacionales. Cuernavaca: Instituto Nacional deSalud Pública, 2012 [cited April 24, 2016]. Available from: https://ensanut.insp.mx/encuestas/ensanut2012/doctos/informes/ENSANUT2012ResultadosNacionales.pdf

5. Rappaport AI, Karakochuk CD, Hess SY, Whitehead RD, Namaste SML,Dary O, et al. Variability in haemoglobin concentration by measurementtool and blood source: An analysis from seven countries. J Clin Pathol.2021;74(10):657-63. https://doi.org/10.1136/jclinpath-2020-206717

6. Larson LM, Braat S, Hasan MI, Mwangi MN, Estepa F, Hossain SJ, et al.Preanalytic and analytic factors affecting the measurement of haemoglobinconcentration: Impact on global estimates of anaemia prevalence. BMJGlob Health. 2021;6. https://doi.org/10.1136/bmjgh-2021-005756

7. Hruschka DJ, Williams AM, Mei Z, Leidman E, Suchdev PS, Young MF, et al.Comparing hemoglobin distributions between population-based surveysmatched by country and time. BMC Public Health. 2020;20. https://doi.org/10.1186/s12889-020-08537-4

8. De la Cruz-Góngora V, Méndez-Gómez-Humarán I, Gaona-Pineda EB,Shamah-Levy T, Dary O. Drops of capillary blood are not appropriate forhemoglobin measurement with point-of-care devices: a comparative studyusing drop capillary, pooled capillary, and venous blood samples. Nutrients.2022;14(24). https://doi.org/10.3390/nu14245346

9. Whitehead RD, Zhang M, Sternberg MR, Schleicher RL, Drammeh B, MapangoC, et al. Effects of preanalytical factors on hemoglobin measurement:A comparison of two HemoCue point-of-care analyzers. Clin Biochem.2017;50(9):513-20. https://doi.org/10.1016/j.clinbiochem.2017.04.006

10. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arrendondo S, Colchero MA, Gaona-Pineda EB, et al. Metodología de laEncuesta Nacional de Salud y Nutrición 2022 y Planeación y diseño de laEnsanut Continua 2020-2024. Salud Publica Mex. 2022;64(5):522-9. https://doi.org/10.21149/14186

11. Martin-Bland J, Altman DG. Statistical methods for assessing agreementbetween two methods of clinical measurement. The Lancet.1986;327(8476):307-10. https://doi.org/10.1016/S0140-6736(86)90837-8

12. Ziegel ER, Brown H, Prescott R. Applied mixed models in medicine.Technometrics. 2000;42(4):442-3. https://doi.org/10.2307/1270978

13. Conway AM, Hinchliffe RF, Earland J, Anderson LM. Measurement of haemoglobinusing single drops of skin puncture blood: Is precision acceptable?J Clin Pathol. 1998;51(3):248-250. https://doi.org/10.1136/jcp.51.3.248

14. Mazariegos DI, Martinez C. Validation of reliable methodologies forhemoglobin and micronutrient assays in Honduras. Guatemala: Institutode Nutrición de Centro América y Panamá, 2019.

15. Instituto de Nutrición de Centro América y Panamá, OrganizaciónPanamericana de la Salud, U.S. Agency for International Develpment. InformeFase A: Verificación de la confiabilidad de los equipos HemoCue y el tipo deextracción sanguínea en la determinación de hemoglobina. Proyecto “Generaciónde información válida y confiable sobre deficiencias de micronutrientesen niños de 6-59 meses y mujeres en edad fértil residentes en siete comunidadesdel departamento de Intibucá en Honduras. Tegucigalpa: INCAP, 2019.

16. HemoCue. HemoCue Hb 201 + Operating Manual Manueld’utilisation. Ängelholm, 2023 [cited April 24, 2016]. Available from: https://www.michigan.gov/documents/mdhhs/hemocue_operating_manual_app_d_hb201manual_543516_7.pdf

17. Mejía-Rodríguez F, Mundo-Rosas V, García-Guerra A, Mauricio-LópezER, Shamah-Levy T, Villalpando S, et al. Prevalence of anemia in the Mexicanpopulation: the analysis of Ensanut Continua 2022. Salud Publica Mex.2023;65(suppl 1):225-30. https://doi.org/10.21149/14771

18. De la Cruz Góngora V, Villalpando S, García-Guerra A, Shamah-LevyT. Anemia en preescolares y escolares. En: Encuesta Nacional de Salud yNutrición Continua 2022 e indicadores para la primera infancia. Resultadosde Nuevo León. Cuernavaca: Instituto Nacional de Salud Pública,2023. Available from: https://www.insp.mx/resources/images/stories/2023/docs/230920_NvoLeon22_Ensanut.pdf