Study of the red cell indices, hemogram and platelet variations in anaemic (<10gm%) patients by automatic cell counter in a tertiary care centre, Ahmednagar, Maharashtra, India

Abstract

Background: Anemia is not a disease but it is the expression of underlying diseases and from the treatment point of view, it is necessary to identify the cause of anemia. The definition of anemia is as decrease in the number of red blood cells or the decreased percentage of hemoglobin in the blood. Anemia is such an important issue affecting a large population in India as well as worldwide, Hence, the present study was conducted to evaluate the red cell indices, haemogram and study the relation of platelet count with anaemia in anaemic (<10gm%) patients by automatic cell counter in Vikhe Patil Medical hospital. Methods: It was a prospective cross-sectional study. The sample size of research project was 100 patients, included according to the inclusion and exclusion criteria. Results: In present study, equal numbers of patients suffer from macrocytic normochromic anemia and hyperchromic anemia, that is, 8 patients of each. Out of 100 patients, 61% patients showed decreased platelet count. Maximum percentage of anaemic patients showed decreased platelet count in the range of 2.5-1.5 lakhs. Least percentage of patients (16%) showed platelet count less than 0.5 lakhs/cmm 3 . Conclusions:Screening for anaemia, treatment of anaemic women, and availability and use of food fortification (wheat flour with iron and folic acid), milk, sugar and salt with iron to build long term iron stores remains the key to reduce anemia in adolescent and pregnant women. Consumption of cheap iron-rich foodstuffs should be promoted. Effective poverty alleviation and hookworm prevention programs are also important.

Iron Deficiency Anaemia- A Case Report with Oral Manifestations

“…Development of iron deficiency anaemia and speed of anaemia progression will depend on basal iron body stores [5]. It is typically caused by inadequate intake of iron, chronic blood loss or by combination of both [6].…”

Occurrence of anemia among the people of Gurugram, Haryana: a cross sectional study

“…[203] CODEN (USA): JDDTAO red cell production, hemolytic anemia due to increased red cell destruction and anemia due to blood loss in cases of trauma or injuries 3 .…”

Study of red cell indices and reticulocyte count in person with anemia at a tertiary care hospital of Kathmandu

“…It is important to know the cause of anemia to treat the patients. 2 Anemia is defined as the decrease in Red blood cell (RBC), hemoglobin (Hb) and hematocrit (Hct) level below the lower extreme of the normal range for the age and sex of the individual. [1][2][3] According to WHO, the anemia cut offs are different for different age group.…”

“…2 Anemia is defined as the decrease in Red blood cell (RBC), hemoglobin (Hb) and hematocrit (Hct) level below the lower extreme of the normal range for the age and sex of the individual. [1][2][3] According to WHO, the anemia cut offs are different for different age group. The hemoglobin cut offs for anemia is-for children 6-59 months of age-11 gm%, children 5-11 years of age-11.5 gm%, children 12-14 years of age-12 gm%, non pregnant women (15 years and above)-12 gm%, pregnant women -11 gm% and men (15 years and above) -13 gm%.…”

“…Normocytic normochromic anemia has normal MCV (82-100 fl) and macrocytic anemia has MCV >100 fl and normal MCHC. 2,3 Reticulocytes are the non nucleated immature erythroid cells in the peripheral blood that are in a discrete penultimate phase of maturation. 8,9 The reticulocytes percentage in the peripheral blood is an indication of the rapidity of red cell turnover if the patient is in a steady state.…”