Hemoglobina como predictor del recuento de hematocrito y hematíes según edad y sexo en una población de Villa El Salvador en Lima-Perú

Alberto Guevara Tirado
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Abstract

Objective: To assess the degree of hemoglobin correlation as a possible predictor of hematocrit and red blood cell count according to age and sex in a population of the district of Villa El Salvador, Lima, Peru. Materials and methods: An observational, analytical, correlational and prospective study carried out with 550 men and 700 women of all ages who attended monthly preventive-promotional health campaigns, as well as routine medical consultations, from January 2021 to June 2022. Collected data consisted of hematocrit, red blood cells and hemoglobin counts. The Spearman’s correlation coefficient was used. Results: There was a higher prevalence of anemia in the group of women older than 11 years (35.10 %), while hemoglobin levels in most children younger than 11 years were mainly normal. High and positive correlations between hemoglobin and hematocrit close to one were found in all age groups and both sexes. In addition, moderate and positive correlations were found in female infants and girls (Rho = 0.525), female adolescents (Rho = 624), as well as male infants and boys (Rho = 0.597). Conclusions: Hemoglobin levels are highly and positively correlated with hematocrit. Simultaneous hemoglobin and hematocrit testing may be clinically and economically unnecessary in screening and preventive-promotional campaigns on anemia conducted in large population groups. Likewise, hemoglobin correlates moderately and positively with red blood cell in children of both sexes and female adolescents. Further research is needed to deepen the reasons why correlation varies in these groups.
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血红蛋白作为利马-秘鲁维拉萨尔瓦多人口按年龄和性别划分的红细胞压积和红细胞计数的预测因子
目的:评估血红蛋白相关性的程度,作为一个可能的预测红细胞压积和红细胞计数根据年龄和性别的人口在Villa El Salvador,利马,秘鲁。材料和方法:在2021年1月至2022年6月期间,对每月参加预防促进健康运动和常规医疗咨询的550名男性和700名所有年龄段的女性进行了一项观察性、分析性、相关性和前瞻性研究。收集的数据包括血细胞比容、红细胞和血红蛋白计数。采用Spearman相关系数。结果:11岁以上妇女贫血发生率较高(35.10%),11岁以下儿童血红蛋白水平以正常为主。血红蛋白和红细胞压积之间的高度正相关关系在所有年龄组和两性中都接近1。此外,在女婴和女孩(Rho = 0.525)、女性青少年(Rho = 624)以及男婴和男孩(Rho = 0.597)中存在中度正相关。结论:血红蛋白水平与红细胞压积高度正相关。同时进行血红蛋白和红细胞压积检测在临床和经济上可能是不必要的,在大量人群中进行贫血筛查和预防宣传活动。同样,在男女儿童和女性青少年中,血红蛋白与红细胞呈正相关。需要进一步的研究来加深这些群体之间相关性变化的原因。
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