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

doi:10.5455/ijmsph.2021.06047202101082021

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Int J Med Sci Public Health. 2021; 10(2): 178-183

doi: 10.5455/ijmsph.2021.06047202101082021

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 patientÂ’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 (â‰¥12 g/dl, 10Â–<12 g/dl, 7Â–<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% â‰¥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. Int J Med Sci Public Health. 2021; 10(2): 178-183. 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. https://www.ijmsph.com/?mno=87323 [Access: April 05, 2022]. 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. Int J Med Sci Public Health. 2021; 10(2): 178-183. 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. Int J Med Sci Public Health. (2021), [cited April 05, 2022]; 10(2): 178-183. 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. Int J Med Sci Public Health, 10 (2), 178-183. 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. International Journal of Medical Science and Public Health, 10 (2), 178-183. 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." International Journal of Medical Science and Public Health 10 (2021), 178-183. 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." International Journal of Medical Science and Public Health 10.2 (2021), 178-183. Print. 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. International Journal of Medical Science and Public Health, 10 (2), 178-183. doi:10.5455/ijmsph.2021.06047202101082021

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