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Asian J Transfus Sci. 2009 Jul;3(2):66-9. doi: 10.4103/0973-6247.53874.

Quality evaluation of four hemoglobin screening methods in a blood donor setting along with their comparative cost analysis in an Indian scenario.

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1
Department of Transfusion Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow- 226014, UP, India.

Abstract

BACKGROUND:

Despite the wide range of methods available for measurement of hemoglobin, no single technique has emerged as the most appropriate and ideal for a blood donation setup.

MATERIALS AND METHODS:

A prospective study utilizing 1014 blood samples was carried out in a blood donation setting for quality evaluation of four methods of hemoglobin estimation along with cost analysis: Hematology cell analyzer (reference), HCS, CuSO4 method and HemoCue.

RESULTS:

Mean value of HemoCue (mean +/- SD = 14.7 +/- 1.49 g/dl) was higher by 0.24 compared to reference (mean +/- SD = 13.8 +/- 1.52 g/dl) but not statistically significant ( P > 0.05). HemoCue proved to be the best technique (sensitivity 99.4% and specificity 84.4%) whereas HCS was most subjective with 25.2% incorrect estimations. CuSO4 proved to be good with 7.9% false results. Comparative cost analysis of each method was calculated to be 35 INR/test for HemoCue, 0.76 INR /test for HCS and 0.06-0.08 INR /test for CuSO4.

CONCLUSION:

CuSO4 method gives accurate results, if strict quality control is applied. HemoCue is too expensive to be used as a primary screening method in an economically restricted country like India.

KEYWORDS:

Blood donation; CuSO4; HCS; HemoCue; cost analysis; hemoglobin estimation

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