E-ISSN 2277-338X | ISSN 2320-4664
 

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Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India

Manisha Sarkar, Anuradha Sinha, Arijit Majumdar, Anindya Adhikari, Goutam Dey.

Abstract
Background: Anaemia causes impaired oxygen delivery to tissues. The first investigation done in anaemia is blood for haemoglobin%(Hb%). It can be reported within minutes using automated analyser. Peripheral blood smear (PBS) examination for assessment of red cell morphology is advised to evaluate the effect of anaemia on patient’s health. Now-a-days, automated analysers are supplied in remote hospital set-up also. But analyser results must be justified with blood smear examination findings.

Objectives: General: To find out the spectrum of Hb concentration among indoor patients; Specific: To find out whether analyser derived red cell indices correspond with red cell morphology on PBS.

Materials and Methods: Observational, cross-sectional, descriptive study conducted in the pathology department of a tribal based hospital. After institutional ethics committee permission the study was conducted for 1 year duration among indoor patients selecting the first complete haemogram report after admission. Hb values were categorised into 4 sub-groups (≥12 g/dl, 10–<12 g/dl, 7–<10 g/dl, <7 g/dl). Red cell indices were derived from analyser. Blood smear stained by Leishman-Giemsa was examined under light microscope. Data was analysed at the end of the study using Microsoft Excel software 2010.

Results: Among 478 total cases 39.53% were male, 60.46% female (Male:Female ratio 1:1.53). 50% of total population had Hb% ≥12 g/dl which constituted 69.84% of the male and 37.02% of the female cases. Females were more in number to have abnormal red cell morphology (23.53%) compared to male (19.05%). Red cell index abnormality was almost equal in male (58.20%) and female (59.52%). More male patients had red cell morphology abnormality (54.38%) than female (34.62%) at Hb level <12g/dl.

Conclusion: Red cell morphology must accompany all cases of haemogram reporting.

Key words: Anaemia; Haemoglobin; Peripheral Blood Smear; Red Cell Indices; Red Cell Morphology


 
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How to Cite this Article
Pubmed Style

Sarkar M, Sinha A, Majumdar A, Adhikari A, Dey G. Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India. doi:10.5455/ijmsph.2021.06047202101082021


Web Style

Sarkar M, Sinha A, Majumdar A, Adhikari A, Dey G. Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India. http://www.ijmsph.com/?mno=87323 [Access: October 01, 2021]. doi:10.5455/ijmsph.2021.06047202101082021


AMA (American Medical Association) Style

Sarkar M, Sinha A, Majumdar A, Adhikari A, Dey G. Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India. doi:10.5455/ijmsph.2021.06047202101082021



Vancouver/ICMJE Style

Sarkar M, Sinha A, Majumdar A, Adhikari A, Dey G. Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India. doi:10.5455/ijmsph.2021.06047202101082021



Harvard Style

Sarkar, M., Sinha, . A., Majumdar, . A., Adhikari, . A. & Dey, . G. (2021) Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India. doi:10.5455/ijmsph.2021.06047202101082021



Turabian Style

Sarkar, Manisha, Anuradha Sinha, Arijit Majumdar, Anindya Adhikari, and Goutam Dey. 2021. Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India. doi:10.5455/ijmsph.2021.06047202101082021



Chicago Style

Sarkar, Manisha, Anuradha Sinha, Arijit Majumdar, Anindya Adhikari, and Goutam Dey. "Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India." doi:10.5455/ijmsph.2021.06047202101082021



MLA (The Modern Language Association) Style

Sarkar, Manisha, Anuradha Sinha, Arijit Majumdar, Anindya Adhikari, and Goutam Dey. "Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India." doi:10.5455/ijmsph.2021.06047202101082021



APA (American Psychological Association) Style

Sarkar, M., Sinha, . A., Majumdar, . A., Adhikari, . A. & Dey, . G. (2021) Red blood cell indices and red blood cell morphology in the haematological evaluation of patients: Study from a tribal based hospital in rural India. doi:10.5455/ijmsph.2021.06047202101082021





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