Validity of Palmar Pallor for Diagnosis of Anemia among Children Aged 6–59 Months in western India
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 1
Abstract
Introduction. The Integrated Management of Childhood and Neonatal Illness (IMNCI) recommends the use palmar pallor to diagnose anaemia. Objective.To study the validity and interobserver agreement of palmar pallor examination to diagnose anemia in children under 5 years of age in India. Methods. In a village in Northern India, hemoglobin estimation was done for 80 children using cyanomethemoglobinmethod.Results. Health worker diagnosed palmar pallor with sensitivity of 30.8– 42.8% and specificity of 70–89%. Similar figures for doctor were 40–47% and 60–66%, respectively. Kappa agreement between a health worker and a physician was 0.48 (95% CI = 0.298–0.666) and then increased to 0.51 when categories of severe pallor and mild pallor were merged. Conclusion. While using palmar pallor as clinical sign for anaemia, children with no pallor should also be followed up closely for possible detection of missed cases during follow-up.
Authors and Affiliations
Ashwinkumar Waghmode, Pranay Gandhi
Keywords
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